Martin David Russell, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

020961900 Issued in OH

Practice address

561 Norwich Ave
Franklin Furnace, OH 45629-8892

Phone

(740) 354-9983

Fax

(740) 354-9978

NPI assigned

Aug 31, 2006

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

Other identifiers 2

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

Locations

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.

• Two Brothers Inc

  • Community/Retail Pharmacy
  • Franklin Furnace, OH
  • NPI 1649382128
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1003928151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 NORWICH AVE",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298892",
            "telephone_number": "740-354-9983",
            "fax_number": "740-354-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 NORWICH AVE",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298892",
            "telephone_number": "740-354-9983",
            "fax_number": "740-354-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MARTIN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "020961900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382983",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER COMP #",
            "identifier": "311473412-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Potts
• Rapid Response Transportation Services
• Vivian Jean Riffel
• Erica Danielle Rodriguez, NP
• Philip Walter Ruark, RPH
• Karen A Sanders, IP
• Patrick Seison
• Amanda Setty, CDCA
• Brandi Sheridan
• Hannah Lee Shope, CDCA PRELIMINARY

• Pharmacist in Franklin Furnace, OH
• Providers in Franklin Furnace, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.