Individual provider Active NPI

Mike Lusk, R.PH.

  • Pharmacist
  • Betsy Layne, KY
National Provider Identifier
1487642203
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7768 Issued in KY
Practice address
111 Hays Complex
Hwy 23
Betsy Layne, KY 41605-0436
Phone
(606) 478-9474
Fax
(606) 478-1000
NPI assigned
Oct 6, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7768 KY Primary

Addresses

Primary practice location

111 Hays Complex
Hwy 23
Betsy Layne, KY 41605-0436

Mailing address

PO Box 436
Betsy Layne, KY 41605-0436
Phone (606) 478-9474

Other identifiers 1

IdentifierTypeStateIssuer
54017017MedicaidKY

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
7768KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487642203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "BETSY LAYNE",
            "state": "KY",
            "postal_code": "416050436",
            "telephone_number": "606-478-9474",
            "fax_number": "606-478-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAYS COMPLEX",
            "address_2": "HWY 23",
            "city": "BETSY LAYNE",
            "state": "KY",
            "postal_code": "416050436",
            "telephone_number": "606-478-9474",
            "fax_number": "606-478-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "MIKE",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "7768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54017017",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Betsy Layne, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.