Organization Active NPI

Letitride Inc

Doing business as Chenoa Rx LTC

  • Long Term Care Pharmacy
  • Chenoa, IL
National Provider Identifier
1851755326
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
054.019487 Issued in IL
Legal business name
LETITRIDE INC
Doing business as
Chenoa Rx LTC
Practice address
1000 E Cemetery Ave
Chenoa, IL 61726-1298
Phone
(815) 945-4211
Fax
(815) 945-7466
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Robert Taveggia
Title
Owner/RPH
Phone
(815) 945-4211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 054.019487 IL Primary

Addresses

Primary practice location

1000 E Cemetery Ave
Chenoa, IL 61726-1298

Mailing address

1000 E Cemetery Ave
Chenoa, IL 61726-1298
Phone (815) 945-4211

Other identifiers 1

IdentifierTypeStateIssuer
2159288OtherPK

Other names 1

  • Chenoa Rx LTC Doing business as

National Provider Directory

National Provider Directory

Locations

209 S Green St
Chenoa, IL 61726
Phone (815) 945-4211

1000 E Cemetery Ave
Chenoa, IL 61726
Phone (815) 945-4211

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1851755326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E CEMETERY AVE",
            "city": "CHENOA",
            "state": "IL",
            "postal_code": "617261298",
            "telephone_number": "815-945-4211",
            "fax_number": "815-945-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E CEMETERY AVE",
            "city": "CHENOA",
            "state": "IL",
            "postal_code": "617261298",
            "telephone_number": "815-945-4211",
            "fax_number": "815-945-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETITRIDE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "TAVEGGIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "815-945-4211"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054.019487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chenoa Rx LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chenoa Rx LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chenoa, IL

Sources for this page

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

Verify at the official NPI Registry.