Active NPI
Letitride Inc
- Community/Retail Pharmacy
- Chenoa, IL
National Provider Identifier
1972600716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054019487
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153927 | Other | PK |
Other names 1
- Chenoa rx
National Provider Directory
National Provider DirectoryLocations
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.