Individual provider Active NPI

Justin K Fuselier, PHARM.D.

  • Pharmacist
  • Opelousas, LA
National Provider Identifier
1275836090
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16719 Issued in LA
Practice address
1013 E Landry St
Opelousas, LA 70570-7388
Phone
(337) 942-5738
Fax
(373) 481-0383
NPI assigned
Dec 16, 2010
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16719 LA Primary

Addresses

Primary practice location

1013 E Landry St
Opelousas, LA 70570-7388

Mailing address

181 Fuselier Rd
Opelousas, LA 70570-1528
Phone (337) 316-6537

Other identifiers 1

IdentifierTypeStateIssuer
16719OtherLOUISIANA PHARMACIST

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

LicenseStateTypeSpecialty
16719LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana CVS Pharmacy LLC PastSince Dec 6, 2020 Accepting new patients
Louisiana CVS Pharmacy, L.L.C. PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1275836090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 FUSELIER RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705701528",
            "telephone_number": "337-316-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E LANDRY ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705707388",
            "telephone_number": "337-942-5738",
            "fax_number": "373-481-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSELIER",
        "first_name": "JUSTIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2020-12-01",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA PHARMACIST",
            "identifier": "16719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.