Active NPI
Justin Lutsy Lutsy, PHARM. D
- Pharmacist
- Whitesville, WV
National Provider Identifier
1851648844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0007953
- Practice address
- 69 Lewis St
Route 3 Box 67
Whitesville, WV 25209 - Phone
- (304) 854-2373
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0007953 | WV | Primary |
Addresses
Primary practice location
69 Lewis St
Route 3 Box 67
Whitesville, WV 25209
Mailing address
311 71St St SE Apt a
Charleston, WV 25304-2974
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP0007953 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1851648844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 71ST ST SE APT A",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 LEWIS ST",
"address_2": "ROUTE 3 BOX 67",
"city": "WHITESVILLE",
"state": "WV",
"postal_code": "25209",
"telephone_number": "304-854-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTSY",
"first_name": "JUSTIN",
"middle_name": "LUTSY",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitesville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.