Russell Alexander Sharp, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD16264 Issued in AR

Practice address

4206 W New Hope Rd
Rogers, AR 72758-8258

Phone

(479) 621-0958

Fax

(479) 621-0908

NPI assigned

Jul 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Rogers, AR
  • NPI 1639302730
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1366176208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 W NEW HOPE RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588258",
            "telephone_number": "479-621-0958",
            "fax_number": "479-621-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 W NEW HOPE RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588258",
            "telephone_number": "479-621-0958",
            "fax_number": "479-621-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "RUSSELL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD16264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF PHARMACY",
            "identifier": "PD16264",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shared Families of Northwest Arkansas L.L.C.
• Martha Ann B Sharkey, MD
• Sharon M Napier MD
• Sharon Nelson Counseling Inc.
• Aaron Sharp
• Juliana Shaw
• Lindsey Brooke Shaw, APRN
• Shawn M. Lee DDS, PA
• Shawnte Farmer Psychiatric Services PLLC
• Matthew W Shelby, CRNA

• Pharmacist in Rogers, AR
• Providers in Rogers, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.