Active NPI
Russell Sheldt, RPH
- Pharmacist
- Evergreen, AL
National Provider Identifier
1275818841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12054
- Practice address
- 310 W Front St
Evergreen, AL 36401-2837 - Phone
- (251) 578-5061
- NPI assigned
- Oct 14, 2011
- Last updated
- Oct 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12054 | AL | Primary |
| Pharmacist | 183500000X | PS26591 | FL |
Addresses
Primary practice location
310 W Front St
Evergreen, AL 36401-2837
Mailing address
310 W Front St
Evergreen, AL 36401-2837
Phone (251) 578-5061
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 |
|---|---|---|---|
| PS26591 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Discount Pharmacy, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Evergreen, AL
- NPI 1821386475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1275818841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W FRONT ST",
"city": "EVERGREEN",
"state": "AL",
"postal_code": "364012837",
"telephone_number": "251-578-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W FRONT ST",
"city": "EVERGREEN",
"state": "AL",
"postal_code": "364012837",
"telephone_number": "251-578-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDT",
"first_name": "RUSSELL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12054",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS26591",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen, AL
- Mark A Roberts, MD
- Rocky Mountain Holdings, LLC (LifeSaver)
- Pamela Lashia Rogers
- Carmen Stayrook Ryals, LPN
- Hector L Salemi-Castro, M.D.
- Southwest Alabama Mental Health
- Star of Life Systems, Inc.
- State of Alabama
- State of Alabama Department of Public Health (Conecuh County Home Care)
- State of Alabama Department of Public Health (Conecuh County Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.