Active NPI
Kristen Leigh Russell, PHARMD
- Pharmacist
- Athens, GA
National Provider Identifier
1073137683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032269
- Practice address
- 3355 Lexington Rd # RC
Athens, GA 30605-2450 - Phone
- (706) 765-2000
- Fax
- (770) 785-7257
- NPI assigned
- May 31, 2020
- Last updated
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH032269 | GA | Primary |
Addresses
Primary practice location
3355 Lexington Rd # RC
Athens, GA 30605-2450
Mailing address
3355 Lexington Rd
Athens, GA 30605-2450
Phone (706) 765-2000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH032269 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3355 Lexington Rd
Athens, GA 30605
Phone (706) 765-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": []
}
Other providers in Athens, GA
Sources for this page
- 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.