Active NPI
Emilia Lusia Fomuso, PHARMD
- Pharmacist
- Allen, TX
National Provider Identifier
1205236171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55629
- Practice address
- 510 E Main St
Allen, TX 75002-3010 - Phone
- (972) 727-6509
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00008280 | NM | |
| Pharmacist | 183500000X | 22736 | MD | |
| Pharmacist | 183500000X | 55629 | TX | Primary |
Addresses
Primary practice location
510 E Main St
Allen, TX 75002-3010
Mailing address
550 N Central Expy Unit 3420
McKinney, TX 75070-0183
Phone (214) 491-9630
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55629 | TX | MD | Counselor |
| 22736 | MD | MD | Pharmacist |
| RP00008280 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxknowledge PLLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- McKinney, TX
- NPI 1306597117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1205236171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N CENTRAL EXPY UNIT 3420",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750700183",
"telephone_number": "214-491-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E MAIN ST",
"city": "ALLEN",
"state": "TX",
"postal_code": "750023010",
"telephone_number": "972-727-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOMUSO",
"first_name": "EMILIA",
"middle_name": "LUSIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008280",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22736",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.