Active NPI
Rebecca Lynn Quant Russell, PHARMD, RPH
- Pharmacist
- Corvallis, OR
National Provider Identifier
1073708988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0010866
- Practice address
- 109 Plageman Building
Oregon State University
Corvallis, OR 97330-5801 - Phone
- (541) 737-3491
- Fax
- (541) 737-7616
- NPI assigned
- Sep 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0010866 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0010866 | OR |
Addresses
Primary practice location
109 Plageman Building
Oregon State University
Corvallis, OR 97330-5801
Mailing address
109 Plageman Building
Oregon State University
Corvallis, OR 97331-5801
Phone (541) 737-3491
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0010866 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1073708988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PLAGEMAN BUILDING",
"address_2": "OREGON STATE UNIVERSITY",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973315801",
"telephone_number": "541-737-3491",
"fax_number": "541-737-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 PLAGEMAN BUILDING",
"address_2": "OREGON STATE UNIVERSITY",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973305801",
"telephone_number": "541-737-3491",
"fax_number": "541-737-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "REBECCA",
"middle_name": "LYNN QUANT",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010866",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0010866",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.