Healthcare Provider Details

I. General information

NPI: 1619882818
Provider Name (Legal Business Name): JAMES LUSSIER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N93W14575 WHITTAKER WAY
MENOMONEE FALLS WI
53051-1652
US

IV. Provider business mailing address

309 WESTERN AVE
WAUKESHA WI
53188-3102
US

V. Phone/Fax

Practice location:
  • Phone: 262-957-8155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23470-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: