LETITRIDE, INC. (NPI# 1386242352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386242352 |
| Entity Type | Organization |
| Organization Name | LETITRIDE, INC. |
| Practice Address |
501 W Oak Street Fairbury IL 61739 |
| Practice Telephone | 8159454211 |
| Practice Fax Number | 8159457466 |
| Mailing Telephone | 8159454211 |
| Mailing Fax Number | 8159457466 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | ROBERT TAVEGGIA (OWNER) |
| Authorized Official Telephone | 8159454211 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | LETITRIDE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Fairbury Pharmacy | Doing Business As Name - Organization |
| Street Address |
501 W OAK STREET |
| City | FAIRBURY |
| State | IL |
| Zip Code | 61739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316101025 | Tracy Neal Taylor | Dentist | 202 East Locust Street, Fairbury, IL 61739 | 2008-07-11 |
| 1154491884 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 902 E Oak St, Fairbury, IL 61739 | 2006-11-09 |
| 1255748745 | Brenton Waystout | Nurse Practitioner | 115 E Walnut St, Fairbury, IL 61739 | 2014-07-16 |
| 1740354117 | Henry John Handler | Dentist | 110 N 2nd St, Fairbury, IL 61739-1116 | 2006-11-20 |
| 1033687843 | Nu-atrics: Pediatric Nutrition & Wellness LLC | Durable Medical Equipment & Medical Supplies | 211 W Willow St, Fairbury, IL 61739-1172 | 2018-11-09 |
| 1114987161 | Fairview Haven Inc | Skilled Nursing Facility | 605 N 4th St, Fairbury, IL 61739-1210 | 2006-03-24 |
| 1336306570 | Prairie Central Cusd No 8 | Local Education Agency (LEA) | 605 N 7th St, Fairbury, IL 61739-1300 | 2008-05-16 |
| 1114313467 | Champion Fitness, Inc | Clinic/Center | 902 E Oak St Ste 3, Fairbury, IL 61739-1301 | 2015-04-14 |
| 1659704740 | Julie Patten | Pharmacist | 902 E Oak St, Fairbury, IL 61739-1390 | 2013-08-13 |
| 1124341250 | Michelle L. Miller | Specialist/Technologist | 902 E Oak St, Suite 3, Fairbury, IL 61739-1390 | 2010-03-03 |
| Find all providers in zip 61739 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.