Thomas Sao Jusu, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH019123 Issued in GA

Practice address

1308 Glenwood Ave SE
Atlanta, GA 30316-2077

Phone

(404) 968-9332

Fax

(404) 968-9856

NPI assigned

Nov 12, 2018

Sex

Male

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

Credentials

Registered Pharmacist

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.

• Eastlake Pharmacy Inc

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1255676326
  NPD (past) Authorized official

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1912475559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 BROOKS MILL DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300384144",
            "telephone_number": "678-357-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 GLENWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162077",
            "telephone_number": "404-968-9332",
            "fax_number": "404-968-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSU",
        "first_name": "THOMAS",
        "middle_name": "SAO",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH019123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justcare Transport LLC
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• Justin Byron Scott DMD PC
• Julie Justus
• Gavriella Jutan
• Sarah H Juul, M.D.
• Jyc Testing & Diagnostics
• K & C Abundant Home Care LLC
• K & L Cardiovascular

• Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.