Individual provider Active NPI

Antonio Pusateri, PHARMD

  • Pharmacist
  • Brown Deer, WI
National Provider Identifier
1811679053
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22270-40 Issued in WI
Practice address
6020 W Brown Deer Rd
Brown Deer, WI 53223-2227
Phone
(414) 365-3608
NPI assigned
Aug 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22270-40 WI Primary

Addresses

Primary practice location

6020 W Brown Deer Rd
Brown Deer, WI 53223-2227

Mailing address

256 Vine St
West Bend, WI 53095-4735
Phone (262) 707-9907

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
22270-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 23, 2025 Accepting new patients
Walgreen Co PastSince Aug 1, 2023 Accepting new patients
Walgreen Co PastSince Sep 15, 2024 Accepting new patients

Locations

6020 W Brown Deer Rd
Brown Deer, WI 53223
Phone (414) 365-3608

Organizations & group practices 3

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1811679053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 VINE ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954735",
            "telephone_number": "262-707-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232227",
            "telephone_number": "414-365-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSATERI",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "22270-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.