Reussi Healthcare PLLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

REUSSI HEALTHCARE PLLC

Doing business as

Reussi Healthcare LLC
Reussi Therapeutics

Practice address

5501 Independence Pkwy Ste 311
Plano, TX 75023-5468

Phone

(832) 755-3078

NPI assigned

Apr 2, 2022

Last updated

Apr 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Modupe Famodimu, PHARMDNPI 1801221817

Title

Pharmacist in Charge

Phone

(832) 755-3078

Specialties & licenses 4

Addresses

Other names 2

• Reussi Healthcare LLC Doing business as
• Reussi Therapeutics Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Modupe Mary Famodimu, PHARM.D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Plano, TX
  • NPI 1801221817
  NPD Authorized official

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1306587621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 WINDROSE AVE APT 3121",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240268",
            "telephone_number": "832-755-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 INDEPENDENCE PKWY STE 311",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235468",
            "telephone_number": "832-755-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUSSI HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "FAMODIMU",
        "authorized_official_first_name": "MODUPE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "832-755-3078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "-",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5501 Independence Pkwy Ste 311",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750235468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reussi Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reussi Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reussi Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic Pharmacy in Plano, TX
• Providers in Plano, TX by specialty
• Clinic Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.