Active NPI
Peter Louis Russo, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1063496529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26372
- Practice address
- 5507 Glenwood Rd
Brooklyn, NY 11234-1113 - Phone
- (718) 251-6444
- Fax
- (718) 531-2294
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- 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 | 26372 | NY | Primary |
Addresses
Primary practice location
5507 Glenwood Rd
Brooklyn, NY 11234-1113
Mailing address
5507 Glenwood Rd
Brooklyn, NY 11234-1113
Phone (718) 251-6444
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26372 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nascent Drug Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063496529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5507 GLENWOOD RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112341113",
"telephone_number": "718-251-6444",
"fax_number": "718-531-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5507 GLENWOOD RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112341113",
"telephone_number": "718-251-6444",
"fax_number": "718-531-2294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "PETER",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "26372",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.