Active NPI
The Russell Hospital Corporation, Inc
- Community/Retail Pharmacy
- Alexander City, AL
National Provider Identifier
1194395467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- THE RUSSELL HOSPITAL CORPORATION, INC
- Practice address
- 3316 Highway 280
Suite 102
Alexander City, AL 35010-3369 - Phone
- (256) 397-7726
- Fax
- (256) 397-7728
- NPI assigned
- Jun 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Campolongo
- Title
- President,Pharmacy Services
- Phone
- (513) 478-5136
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
3316 Highway 280
Suite 102
Alexander City, AL 35010-3369
Mailing address
3316 Highway 280
Suite 102
Alexander City, AL 35010-3369
Phone (256) 397-7726
Other names 1
- Russell Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211110002036 | AL | Part B Supplier - Pharmacy | 8921497082 | Practice locations: Alexander City, AL |
National Provider Directory
National Provider Directory- Tax ID family
- Russell Hospital Blythe
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Dadeville, AL
- NPI 1215953799
-
- Emergency Medical Services (Emergency Medicine) Physician
- Alexander City, AL
- NPI 1306980412
-
- General Acute Care Hospital
- Alexander City, AL
- NPI 1811913460
-
- Pharmacy
- Alexander City, AL
- NPI 1881849024
Locations
3316 Highway 280
Ste 102
Alexander City, AL 35010
Phone (256) 397-7726
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Alexander City, AL
- NPI 1619655487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1194395467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 HIGHWAY 280",
"address_2": "SUITE 102",
"city": "ALEXANDER CITY",
"state": "AL",
"postal_code": "350103369",
"telephone_number": "256-397-7726",
"fax_number": "256-397-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 HIGHWAY 280",
"address_2": "SUITE 102",
"city": "ALEXANDER CITY",
"state": "AL",
"postal_code": "350103369",
"telephone_number": "256-397-7726",
"fax_number": "256-397-7728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE RUSSELL HOSPITAL CORPORATION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-29",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A",
"authorized_official_last_name": "CAMPOLONGO",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "PRESIDENT,PHARMACY SERVICES",
"authorized_official_telephone_number": "513-478-5136"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Russell Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexander City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.