Individual provider Active NPI

Russell James Gemmer, R.PH.

  • Pharmacist
  • Marysville, WA
National Provider Identifier
1275518672
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00009752 Issued in WA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PH00009752OtherWASTATE 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

LicenseStateTypeSpecialty
PH00009752WAMDPharmacist

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.

Verify at the official NPI Registry.