Individual provider Active NPI

Mariane Letargo-Enriquez

  • Pharmacist
  • Cincinnati, OH
National Provider Identifier
1912291881
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-2-24536 Issued in OH
Practice address
9841 Waterstone Blvd
Cincinnati, OH 45249-8296
Phone
(513) 677-3879
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-2-24536 OH Primary

Addresses

Primary practice location

9841 Waterstone Blvd
Cincinnati, OH 45249-8296

Mailing address

742 Avon Fields LN
Cincinnati, OH 45229-1511
Phone (513) 549-4746

Other names 1

  • Mariane Letargo Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1912291881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 AVON FIELDS LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291511",
            "telephone_number": "513-549-4746",
            "fax_number": "513-549-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 WATERSTONE BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452498296",
            "telephone_number": "513-677-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETARGO-ENRIQUEZ",
        "first_name": "MARIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-24536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANE",
            "last_name": "LETARGO",
            "credential": "PHARMACIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.