Elizabeth Russo

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH24194 Issued in MA

Practice address

164 Main St
Saugus, MA 01906-3271

Phone

(781) 231-5775

NPI assigned

Dec 17, 2020

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Stop & Shop Supermarket Company, LLC

  • Community/Retail Pharmacy
  • Saugus, MA
  • NPI 1518999481
  NPD (past)
• Stop and Shop Supermarket Co LLC

  • Community/Retail Pharmacy
  • Kinnelon, NJ
  • NPI 1932570363
  NPD (past)

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1043806508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063271",
            "telephone_number": "781-231-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063271",
            "telephone_number": "781-231-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH24194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH24194",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reliable Care Physical Therapy LLC
• Matthew Riley
• Ailin Rodrigues, WHNP
• William Moreno Rosado
• Michael Rubino, PT
• Nicole Saccomandi, OTR
• Safety Home Health Care Agency
• Anthony Saggese
• Christine Saia
• Saini Vision and Optical Boutique P.C.

• Pharmacist in Saugus, MA
• Providers in Saugus, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.