Active NPI
Shana L Lettieri, PHARM.D., BCACP
- Ambulatory Care Pharmacist
- Wilkes Barre, PA
National Provider Identifier
1831176619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- RP045918L
- Practice address
- 1111 E End Blvd
Wilkes Barre, PA 18711-0030 - Phone
- (570) 824-3521
- Fax
- (570) 855-7030
- NPI assigned
- Dec 22, 2005
- Last updated
- Nov 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | RP045918L | PA | Primary |
Addresses
Primary practice location
1111 E End Blvd
Wilkes Barre, PA 18711-0030
Mailing address
266 Deer Run Dr
Mountain Top, PA 18707-1965
Phone (570) 417-1955
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP045918L | PA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1831176619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 DEER RUN DR",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071965",
"telephone_number": "570-417-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E END BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187110030",
"telephone_number": "570-824-3521",
"fax_number": "570-855-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETTIERI",
"first_name": "SHANA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PHARM.D., BCACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "PA",
"license": "RP045918L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.