Active NPI
Krissa Lusk
- Pharmacist
- Weirton, WV
National Provider Identifier
1265265821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0014222
- Practice address
- 601 Colliers Way FL 9
Weirton, WV 26062-5014 - Phone
- (304) 670-4791
- NPI assigned
- Aug 20, 2024
- Last updated
- Aug 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0014222 | WV | Primary |
Addresses
Primary practice location
601 Colliers Way FL 9
Weirton, WV 26062-5014
Mailing address
100 Piper PL
Follansbee, WV 26037-2027
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0014222 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1265265821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PIPER PL",
"city": "FOLLANSBEE",
"state": "WV",
"postal_code": "260372027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 COLLIERS WAY FL 9",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625014",
"telephone_number": "304-670-4791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSK",
"first_name": "KRISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0014222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.