Active NPI
Russell Elson Smith, RPH
- Pharmacist
- Carson City, NV
National Provider Identifier
1083995765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16233
- Practice address
- 1465 E William St
Carson City, NV 89701-3278 - Phone
- (775) 841-2790
- Fax
- (775) 841-2796
- NPI assigned
- Sep 8, 2011
- Last updated
- Sep 8, 2011
- 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 | 16233 | NV | Primary |
Addresses
Primary practice location
1465 E William St
Carson City, NV 89701-3278
Mailing address
1465 E William St
Carson City, NV 89701-3278
Phone (775) 841-2790
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1083995765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 E WILLIAM ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897013278",
"telephone_number": "775-841-2790",
"fax_number": "775-841-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 E WILLIAM ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897013278",
"telephone_number": "775-841-2790",
"fax_number": "775-841-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RUSSELL",
"middle_name": "ELSON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "16233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.