Active NPI
Letdin Pharmacy
- Community/Retail Pharmacy
- Mission, TX
National Provider Identifier
1801118922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26800
- Legal business name
- LETDIN PHARMACY
- Practice address
- 1512 E Griffin Parkway
Ste 1
Mission, TX 78572-2422 - Phone
- (956) 581-9566
- Fax
- (956) 581-9568
- NPI assigned
- Feb 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laetitia Andin Fombon
- Title
- Pharmacist in Charge
- Phone
- (214) 837-9976
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 26800 | TX | Primary |
Addresses
Primary practice location
1512 E Griffin Parkway
Ste 1
Mission, TX 78572-2422
Mailing address
1512 E Griffin Parkway
Ste 1
Mission, TX 78572-2422
Phone (956) 581-9566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146124 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2101 S Cynthia St
Ste D2
McAllen, TX 78503
Phone (956) 682-2262
1512 E Griffin Pkwy
Ste 1
Mission, TX 78572
Phone (956) 581-9566
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- In Home Supportive Care Agency
- Mission, TX
- NPI 1811881170
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- McAllen, TX
- NPI 1801231600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427155200000",
"number": "1801118922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 E GRIFFIN PARKWAY",
"address_2": "STE 1",
"city": "MISSION",
"state": "TX",
"postal_code": "785722422",
"telephone_number": "956-581-9566",
"fax_number": "956-581-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 E GRIFFIN PARKWAY",
"address_2": "STE 1",
"city": "MISSION",
"state": "TX",
"postal_code": "785722422",
"telephone_number": "956-581-9566",
"fax_number": "956-581-9568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETDIN PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-16",
"last_updated": "2015-03-24",
"status": "A",
"authorized_official_last_name": "FOMBON",
"authorized_official_first_name": "LAETITIA",
"authorized_official_middle_name": "ANDIN",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "214-837-9976",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "26800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146124",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.