Individual provider Active NPI

J Angela Letts

  • Pharmacist
  • Yonkers, NY
National Provider Identifier
1609050996
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040995-1 Issued in NY
Practice address
321 Saw Mill River Rd
Yonkers, NY 10701-5720
Phone
(914) 613-9374
Fax
(914) 613-9376
NPI assigned
Dec 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040995-1 NY Primary

Addresses

Primary practice location

321 Saw Mill River Rd
Yonkers, NY 10701-5720

Mailing address

321 Saw Mill River Rd
Yonkers, NY 10701-5720
Phone (914) 613-9374

Other identifiers 1

IdentifierTypeStateIssuer
01823707MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
040995-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nilkanth Pharmacy LLC. Current Accepting new patients
Stelamouna LLC Current Accepting new patients
Stelamouna LLC Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1609050996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SAW MILL RIVER RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015720",
            "telephone_number": "914-613-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SAW MILL RIVER RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015720",
            "telephone_number": "914-613-9374",
            "fax_number": "914-613-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTS",
        "first_name": "J",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040995-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01823707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.