Active NPI
Letha Meppurathu Samuel
- Pharmacist
- Sachse, TX
National Provider Identifier
1619571528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40171
- Practice address
- 5190 Highway 78
Sachse, TX 75048-4202 - Phone
- (972) 675-1066
- NPI assigned
- Nov 23, 2020
- Last updated
- Jun 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40171 | TX | Primary |
Addresses
Primary practice location
5190 Highway 78
Sachse, TX 75048-4202
Mailing address
3504 Bahama Dr
Plano, TX 75074-8996
Phone (972) 772-8744
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40171 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780790400000",
"number": "1619571528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 BAHAMA DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750748996",
"telephone_number": "972-772-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 HIGHWAY 78",
"city": "SACHSE",
"state": "TX",
"postal_code": "750484202",
"telephone_number": "972-675-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "LETHA",
"middle_name": "MEPPURATHU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2026-06-07",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sachse, TX
- Sachse Chiropractic Center, Inc.
- Sachse Family Eye Clinic, PLLC
- Sachse Pediatrics PLLC
- Sachse Tiny Teeth, PLLC (Texas Tiny Teeth Pediatric Dentistry and Orthodontics Sachse)
- Sage Minds Counseling
- Neetu Deshpande Samuel
- Sethi Laboratories LLC
- Mahdokht Shams
- Anne Elizabeth Sholden, PHARM.D.
- Alana C Simmons
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.