Active NPI
Melissa Russo, PHARM.D.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1053662304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057328
- Practice address
- 320 Smith St
Brooklyn, NY 11231-4608 - Phone
- (718) 403-9371
- NPI assigned
- Sep 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 057328 | NY | Primary |
Addresses
Primary practice location
320 Smith St
Brooklyn, NY 11231-4608
Mailing address
94 4TH PL
Brooklyn, NY 11231-4008
Phone (646) 591-6093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1053662304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 4TH PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112314008",
"telephone_number": "646-591-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SMITH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112314608",
"telephone_number": "718-403-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.