ANDREA R CUSACK
NPI 1255617585
Pharmacist in Lake Odessa, MI

Active since November 01, 2011
802 4TH AVE, LAKE ODESSA, MI 48849(877) 855-9777 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea R Cusack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA R CUSACK (NPI 1255617585) is an individual pharmacist in Lake Odessa, Michigan, licensed in Michigan (5302032199) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1255617585
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameANDREA R CUSACK
Location Address802 4TH AVELake Odessa, MI 48849-1002
Mailing Address802 4th AveLake Odessa, MI 48849-1002 · (877) 855-9777
Sole ProprietorYes
Enumeration DateNovember 1, 2011
Last NPPES UpdateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
NPI 1255617585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302032199
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
802 4TH AVE, Lake Odessa, MI 48849

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
802 4TH AVE
LAKE ODESSA, MI 48849

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Cusack's NPI number?

The NPI number for Andrea Cusack is 1255617585. It was assigned to this individual provider in the NPPES registry on November 1, 2011.

Where is Andrea Cusack located?

Andrea Cusack practices at 802 4th Ave, Lake Odessa, MI 48849. The listed phone number is (877) 855-9777.

What is Andrea Cusack's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Andrea Cusack was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.