Michael Lettmoden, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT11375 Issued in CT

Practice address

6 Thompson Rd
East Windsor, CT 06088-9626

Phone

(860) 623-3000

Fax

(855) 547-5702

NPI assigned

Sep 13, 2016

Sex

Male

Sole proprietor

No

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.

• Partners of Connecticut, LLC

  • Long Term Care Pharmacy
  • Bloomfield, CT
  • NPI 1336170349
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2016.

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1801344478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 THOMPSON RD",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060889626",
            "telephone_number": "860-623-3000",
            "fax_number": "855-547-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 THOMPSON RD",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060889626",
            "telephone_number": "860-623-3000",
            "fax_number": "855-547-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTMODEN",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT11375",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH235778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Kramer
• Rakesh Kumar, DDS
• John H Lally, APRN
• Anna Laskowski, LO
• Lori A Leblanc, D.D.S.
• Shradha Mahajan, PT
• Anita Mantese
• Marcia Hughes Health Services, LLC
• Sheryl Marinone, APRN
• Micaelle Martin, NP

• All providers in East Windsor, CT
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.