Kristen Leigh Russell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH032269 Issued in GA

Practice address

3355 Lexington Rd # RC
Athens, GA 30605-2450

Phone

(706) 765-2000

Fax

(770) 785-7257

NPI assigned

May 31, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Walgreen Co

  • Pharmacy
  • Athens, GA
  • NPI 1588976062
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1073137683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 LEXINGTON RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052450",
            "telephone_number": "706-765-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LEXINGTON RD # RC",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052450",
            "telephone_number": "706-765-2000",
            "fax_number": "770-785-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-31",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH032269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rural Urgent Care LLC
• Russell D Springer PC
• Russell D Springer, P.C.
• Heather Lynn Russell, PA-C
• Jessica Russell
• Garth Russo, MD
• Natalie Russo, MD
• Phillip Rustin, DPT
• Christopher Ryan
• David Steven Ryan, MD

• All providers in Athens, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.