Kristine A Russell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S016641 Issued in AZ

Practice address

17088 W Bell Rd
Surprise, AZ 85374-2433

Phone

(623) 826-9093

NPI assigned

Apr 27, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367020800000",
    "number": "1114361656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15284 W ELM ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957726",
            "telephone_number": "623-826-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17088 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742433",
            "telephone_number": "623-826-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Carlos Ruiz
• Faith Runion
• Deborah Kathleen Rupae, FNP
• Brock Terry Russell, DMD
• Jacob Robert Russell, DO
• Leah Russell, M.ED
• Markaya Russell
• Layna Rutkowski
• Albert Clark Ruttinger, D.O.
• Ryan Goldman, PLLC

• Pharmacist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.