Active NPI
Bobby James Russell, D.PH.
- Pharmacist
- Union City, TN
National Provider Identifier
1114119682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 358
- Practice address
- 705 E Reelfoot Ave
Union City, TN 38261-5883 - Phone
- (731) 885-9441
- Fax
- (731) 885-7861
- NPI assigned
- Aug 17, 2007
- 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 | 358 | TN | Primary |
Addresses
Primary practice location
705 E Reelfoot Ave
Union City, TN 38261-5883
Mailing address
705 E Reelfoot Ave
Union City, TN 38261-5883
Phone (731) 885-9441
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 358 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.W. James & Sons, Inc | Past | Accepting new patients | |
| Ew James & Sons, Inc, Dba Ew James Pharmacy #70 | 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 and National Provider Directory roles.
-
dba E.W. James Pharmacy #70
- Community/Retail Pharmacy
- Union City, TN
- NPI 1912011040
-
- Oxygen Equipment & Supplies (DME)
- Union City, TN
- NPI 1568551372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1114119682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E REELFOOT AVE",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615883",
"telephone_number": "731-885-9441",
"fax_number": "731-885-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E REELFOOT AVE",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615883",
"telephone_number": "731-885-9441",
"fax_number": "731-885-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "BOBBY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.