Organization Active NPI

Stelamouna LLC

  • Community/Retail Pharmacy
  • Yonkers, NY
National Provider Identifier
1942969415
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
STELAMOUNA LLC
Practice address
321 Saw Mill River Rd
Yonkers, NY 10701-5720
Phone
(914) 613-9374
Fax
(914) 613-9376
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Dr. Josephine Angela Letts
Title
Owner
Phone
(914) 613-9374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

321 Saw Mill River Rd
Yonkers, NY 10701-5720

Mailing address

321 Saw Mill River Rd
Yonkers, NY 10701-5720
Phone (914) 613-9374

Other names 1

  • Sawmill Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220502000537 NY Part B Supplier - Pharmacy 6507253051 Practice locations: Yonkers, NY
O20220511002608 NY DME Supplier - Pharmacy 6507253051 Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory
Tax ID family
Sawmill Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1942969415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SAW MILL RIVER RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015720",
            "telephone_number": "914-613-9374",
            "fax_number": "914-613-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SAW MILL RIVER RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015720",
            "telephone_number": "914-613-9374",
            "fax_number": "914-613-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELAMOUNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "LETTS",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-613-9374",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sawmill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.