Individual provider Active NPI

James Gordon Trussler, RPH

  • Pharmacist
  • Southfield, MI
National Provider Identifier
1275247298
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302032787 Issued in MI
Practice address
23077 Greenfield Rd Ste 100
Southfield, MI 48075-3744
Phone
(248) 559-8555
Fax
(248) 559-8554
NPI assigned
Jan 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302032787 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd Ste 100
Southfield, MI 48075-3744

Mailing address

23077 Greenfield Rd Ste 100
Southfield, MI 48075-3744
Phone (248) 559-8555

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302032787MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Pharmacy Compounding 2 Inc PastSince Jan 15, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1275247298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753744",
            "telephone_number": "248-559-8555",
            "fax_number": "248-559-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753744",
            "telephone_number": "248-559-8555",
            "fax_number": "248-559-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSSLER",
        "first_name": "JAMES",
        "middle_name": "GORDON",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302032787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.