John P Russo, PHARMACIST

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP031319L Issued in PA

Practice address

608 E Hillcrest Ave
New Castle, PA 16105-2254

Phone

(724) 674-9304

NPI assigned

Oct 31, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• John P Russo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1134729791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E HILLCREST AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161052254",
            "telephone_number": "724-674-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E HILLCREST AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161052254",
            "telephone_number": "724-674-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RP031319L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "RUSSO",
            "middle_name": "P",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathleen Ann Ross, RNBC
• Kimberly Rotunna, RN
• Kathleen Marie Rozzi, MA CCC SLP
• James F Rupp, D.P.M.
• Lisa Russell, CRNP
• Ryan P. Nebel, D.M.D. LLC
• Judith M Ryan, RN
• Robin Elaine Rzodkiewicz, SLP
• Kristin N Saari, LPC
• Edward Salata, PT

• Community/Retail Pharmacy in New Castle, PA
• Providers in New Castle, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.