Devin Jordan Russell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0000028852 Issued in TN

Practice address

126 Market St
Red Boiling Springs, TN 37150-2271

Phone

(615) 699-2509

Fax

(615) 699-4139

NPI assigned

Dec 13, 2011

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Male

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

Practice roles

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

• The Prescription Shop Inc

  • Community/Retail Pharmacy
  • Red Boiling Springs, TN
  • NPI 1356402168
  NPD Authorized official

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1205104692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "RED BOILING SPRINGS",
            "state": "TN",
            "postal_code": "371500059",
            "telephone_number": "615-699-2509",
            "fax_number": "615-699-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MARKET ST",
            "city": "RED BOILING SPRINGS",
            "state": "TN",
            "postal_code": "371502271",
            "telephone_number": "615-699-2509",
            "fax_number": "615-699-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DEVIN",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000028852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Justin McGriff, PTA
• Amanda Lynn Mitchell, RN
• Palace RBS LLC (The Palace Health Care and Rehabilitation Center)
• Red Boiling Springs TN Opco LLC (The Palace Healthcare and Rehabilitation Center)
• Phillip Scott Ross, P.T.
• Patsy Ann Sisco
• The Prescription Shop Inc
• Courtney Dionne Washer, PHARMD
• Edna Lynn Woodard, FNP-BC

• Pharmacist in Red Boiling Springs, TN
• Providers in Red Boiling Springs, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.