Active NPI
Emma Grace Russell
- Pharmacist
- Red Bay, AL
National Provider Identifier
1063214658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S13894
- Practice address
- 703 Patrick Henry St
Red Bay, AL 35582-3640 - Phone
- (256) 460-8306
- NPI assigned
- Mar 25, 2025
- Last updated
- Sep 6, 2025
- 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 | S13894 | AL | Primary |
Addresses
Primary practice location
703 Patrick Henry St
Red Bay, AL 35582-3640
Mailing address
703 Patrick Henry St
Red Bay, AL 35582-3640
Phone (256) 460-8306
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S13894 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757116800000",
"number": "1063214658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 PATRICK HENRY ST",
"city": "RED BAY",
"state": "AL",
"postal_code": "355823640",
"telephone_number": "256-460-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 PATRICK HENRY ST",
"city": "RED BAY",
"state": "AL",
"postal_code": "355823640",
"telephone_number": "256-460-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "EMMA",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-25",
"last_updated": "2025-09-06",
"certification_date": "2025-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "S13894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bay, AL
- Red Bay Hospital Outpatient Clinic
- Red Bay Opco LLC (RedBay Nursing and Rehab Center)
- Red Bay Pharmacy, LLC.
- Redmont Pharmacy
- Redmont Pharmacy
- Southcare Health and Rehab of Red Bay,LLC
- Southern Rural Health Care Consortium, Inc.
- Cori K Vandevender, PHARM.D
- Vinson Road Healthcare LLC (The Health Center of Red Bay)
- Donna Weatherford, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.