Active NPI
Russell James Gemmer, R.PH.
- Pharmacist
- Marysville, WA
National Provider Identifier
1275518672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009752
- Practice address
- 6602 64TH St NE
Marysville, WA 98270-4834 - Phone
- (360) 658-5218
- Fax
- (360) 658-5549
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- 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 | PH00009752 | WA | Primary |
Addresses
Primary practice location
6602 64TH St NE
Marysville, WA 98270-4834
Mailing address
5620 E Lake Bosworth Dr
Snohomish, WA 98290-7741
Phone (360) 691-1166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH00009752 | Other | WA | STATE LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00009752 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275518672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 E LAKE BOSWORTH DR",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982907741",
"telephone_number": "360-691-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6602 64TH ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704834",
"telephone_number": "360-658-5218",
"fax_number": "360-658-5549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEMMER",
"first_name": "RUSSELL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PH00009752",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.