Individual provider Active NPI

William Louis Letexier, PHARMD.

  • Pharmacist
  • Shakopee, MN
National Provider Identifier
1720441421
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
118052 Issued in MN
Practice address
8201 Old Carriage CT
Shakopee, MN 55379-3154
Phone
(952) 496-2982
Fax
(952) 496-2985
NPI assigned
Mar 30, 2016
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 118052 MN Primary

Addresses

Primary practice location

8201 Old Carriage CT
Shakopee, MN 55379-3154

Mailing address

8201 Old Carriage CT
Shakopee, MN 55379-3154
Phone (952) 496-2982

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
118052MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1720441421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 OLD CARRIAGE CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793154",
            "telephone_number": "952-496-2982",
            "fax_number": "952-496-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 OLD CARRIAGE CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793154",
            "telephone_number": "952-496-2982",
            "fax_number": "952-496-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETEXIER",
        "first_name": "WILLIAM",
        "middle_name": "LOUIS",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.