NPIMap

Individual provider Active NPI

Patrice Anntoinette Palmer-Russell

  • Pharmacist
  • Chelmsford, MA
National Provider Identifier
1194985127
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21259 Issued in MA
Practice address
10 Industrial Ave
Chelmsford, MA 01824-3610
Phone
(978) 244-1300
Fax
(978) 244-1302
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21259 MA Primary
Pharmacist 183500000X 09392 MD

Addresses

Primary practice location

10 Industrial Ave
Chelmsford, MA 01824-3610

Mailing address

2 Pinecone LN
Andover, MA 01810-5882
Phone (978) 409-2440

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford VA Cmop Past Accepting new patients
Northeast Cmop Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1194985127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PINECONE LN",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105882",
            "telephone_number": "978-409-2440",
            "fax_number": "978-244-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL AVE",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243610",
            "telephone_number": "978-244-1300",
            "fax_number": "978-244-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER-RUSSELL",
        "first_name": "PATRICE",
        "middle_name": "ANNTOINETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "21259",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "09392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.