Individual provider Active NPI

Alicia Rose Letizio

  • Pharmacist
  • Cicero, NY
National Provider Identifier
1790449205
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
068465 Issued in NY
Practice address
6189 State Route 31
Cicero, NY 13039-8960
Phone
(315) 699-0812
NPI assigned
Oct 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 068465 NY Primary

Addresses

Primary practice location

6189 State Route 31
Cicero, NY 13039-8960

Mailing address

1365 W Genesee St
Chittenango, NY 13037-8505
Phone (315) 687-3841

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rxm.19496@store.Walgreens.com

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
068465NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 3, 2024 Accepting new patients
Walgreen Co PastSince Mar 3, 2024 Accepting new patients

Locations

6189 State Route 31
Cicero, NY 13039
Phone (315) 699-0812

Interoperability endpoints

  • Direct secure messaging: rxm.19496@store.walgreens.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1790449205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 W GENESEE ST",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130378505",
            "telephone_number": "315-687-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6189 STATE ROUTE 31",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398960",
            "telephone_number": "315-699-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETIZIO",
        "first_name": "ALICIA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rxm.19496@store.Walgreens.com",
            "affiliation": "N",
            "address_1": "4764 Salina St",
            "city": "Pulaski",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131424715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.