Leutrime Jusufi

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

19967 Issued in WI

Practice address

10101 Market St
Rothschild, WI 54474-7938

Phone

(715) 241-0245

NPI assigned

Dec 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Roundys Supermarkets Inc

  • Community/Retail Pharmacy
  • Marshfield, WI
  • NPI 1013484997
  NPD (past)
• Roundys Supermarkets Inc

  • Community/Retail Pharmacy
  • Rothschild, WI
  • NPI 1306173307
  NPD (past)

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1396331963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 MARKET ST",
            "city": "ROTHSCHILD",
            "state": "WI",
            "postal_code": "544747938",
            "telephone_number": "715-241-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 MARKET ST",
            "city": "ROTHSCHILD",
            "state": "WI",
            "postal_code": "544747938",
            "telephone_number": "715-241-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSUFI",
        "first_name": "LEUTRIME",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "19967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Louise Grassl
• Nicole Huth, MA
• Chelsea Rae Jenness, RN
• Christa Johnson, RN
• Jennifer Mary Johnson
• Morgan B Kafczynski
• Henry Kanemoto, MD
• Nicole M Klatt, AU.D
• Bryan Konkol
• Erica Koshak

• All providers in Rothschild, WI
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.