Active NPI
Susan Russell
- Pharmacist
- Plano, TX
National Provider Identifier
1225822901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55982
- Practice address
- 8277 Belleview Dr Ste 250
Plano, TX 75024-0359 - Phone
- (855) 455-2100
- NPI assigned
- Apr 7, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55982 | TX | Primary |
Addresses
Primary practice location
8277 Belleview Dr Ste 250
Plano, TX 75024-0359
Mailing address
127 Anna Springs LN
Montgomery, TX 77356-8394
Phone (307) 630-7968
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55982 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1225822901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 ANNA SPRINGS LN",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773568394",
"telephone_number": "307-630-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8277 BELLEVIEW DR STE 250",
"city": "PLANO",
"state": "TX",
"postal_code": "750240359",
"telephone_number": "855-455-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.