Organization Active NPI

Letitride Inc

  • Community/Retail Pharmacy
  • Chenoa, IL
National Provider Identifier
1972600716
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054019487 Issued in IL
Legal business name
LETITRIDE INC
Practice address
1000 E Cemetery Ave
Chenoa, IL 61726-1298
Phone
(815) 945-4211
Fax
(815) 945-7466
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Eric Daniel Urbanowski
Title
Authorized Official
Phone
(815) 945-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054019487 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
2153927OtherPK

Other names 1

  • Chenoa rx Doing business as

National Provider Directory

National Provider Directory

Locations

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1972600716",
    "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": "2006-09-20",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "URBANOWSKI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "815-945-4211"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054019487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chenoa rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chenoa rx",
            "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 Jul 17, 2026; 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.