Megan N Russell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

055869 Issued in NY

Practice address

307 Nottingham Rd
Syracuse, NY 13210-3453

Phone

(315) 214-5097

NPI assigned

Sep 14, 2011

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #113

  • Community/Retail Pharmacy
  • Syracuse, NY
  • NPI 1376893529
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1336421585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N CHURCH ST",
            "address_2": "APT 1N",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452141",
            "telephone_number": "315-559-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 NOTTINGHAM RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132103453",
            "telephone_number": "315-214-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MEGAN",
        "middle_name": "N",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336421858",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "russellm@kinneydrugs.com",
            "affiliation": "N",
            "address_1": "307 Nottingham Rd",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132103453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Hoxie Russell
• Christopher Dale Russell, PHARMD
• Cynthia E Russell, B.S.
• Emily Russell, LMSW
• Laura Ann Russell, M.S. S.L.P.C.F.
• Amanda Deanna Russo, DO
• Dominique Russo
• Hannah L Russo
• Mary Russo
• Natalie Russo, PHD

• Pharmacist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.