Active NPI
Bryson Russell, PHARMD, MHA, MSC
- Pharmacist
- Missoula, MT
National Provider Identifier
1174410021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0023429
- Practice address
- 2908 Dublin St
Missoula, MT 59808-1917 - Phone
- (970) 388-2577
- NPI assigned
- Jun 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA-PHA-LIC-78738 | MT | |
| Pharmacist | 183500000X | PHA.0023429 | CO | Primary |
Addresses
Primary practice location
2908 Dublin St
Missoula, MT 59808-1917
Mailing address
2908 Dublin St
Missoula, MT 59808-1917
Phone (970) 388-2577
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 |
|---|---|---|---|
| PHA.0023429 | CO | MD | Pharmacist |
| PHA-PHA-LIC-78738 | MT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1174410021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 DUBLIN ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081917",
"telephone_number": "970-388-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 DUBLIN ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081917",
"telephone_number": "970-388-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "BRYSON",
"name_prefix": "Dr.",
"credential": "PHARMD, MHA, MSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "PHA-PHA-LIC-78738",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0023429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.