Letassy Health Services

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

004918 Issued in MO

Legal business name

LETASSY HEALTH SERVICES

Practice address

1002 W Pine St
Poplar Bluff, MO 63901-4840

Phone

(573) 785-0048

Fax

(573) 785-0459

NPI assigned

Jul 19, 2006

Last updated

Oct 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David T Letassy

Title

RPH

Phone

(573) 785-0048

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1780603969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W PINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014840",
            "telephone_number": "573-785-0048",
            "fax_number": "573-785-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W PINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014840",
            "telephone_number": "573-785-0048",
            "fax_number": "573-785-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETASSY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "LETASSY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "573-785-0048",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MO",
            "license": "854887502",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "MO",
            "license": "622577708",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "004918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602577702",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622577708",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854887502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick J Lecorps, MD
• Rebecca Leann Leeds
• Sam V Lefler, RPH
• Jennifer Sue Leggett
• Carrie Jo Leslie
• Letassy Pharmacy
• Candace Lewis, B.A.
• Crystal Lewis
• Danasty Marie Lewis
• Donal Rena Lewis

• Long Term Care Pharmacy in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.