Active NPI
Danielle Russell, PHARMD
- Pharmacist
- Tucson, AZ
National Provider Identifier
1114241841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S017289
- Practice address
- 1830 E Broadway Blvd Ste 136
Tucson, AZ 85719-5968 - Phone
- (520) 330-3451
- Fax
- (520) 330-3453
- NPI assigned
- Mar 24, 2010
- Last updated
- Dec 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S017289 | AZ | Primary |
Addresses
Primary practice location
1830 E Broadway Blvd Ste 136
Tucson, AZ 85719-5968
Mailing address
1830 E Broadway Blvd Ste 136
Tucson, AZ 85719-5968
Phone (520) 330-3451
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 |
|---|---|---|---|
| S017289 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past | Accepting new patients |
Locations
1830 E Broadway Blvd
Ste 136
Tucson, AZ 85719
Phone (520) 330-3451
Organizations & group practices 3
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": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1114241841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 E BROADWAY BLVD STE 136",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195968",
"telephone_number": "520-330-3451",
"fax_number": "520-330-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 E BROADWAY BLVD STE 136",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195968",
"telephone_number": "520-330-3451",
"fax_number": "520-330-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.