Active NPI
Russell Alexander Sharp, PHARM. D.
- Pharmacist
- Rogers, AR
National Provider Identifier
1366176208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD16264
- Practice address
- 4206 W New Hope Rd
Rogers, AR 72758-8258 - Phone
- (479) 621-0958
- Fax
- (479) 621-0908
- NPI assigned
- Jul 15, 2022
- Last updated
- Jul 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD16264 | AR | Primary |
Addresses
Primary practice location
4206 W New Hope Rd
Rogers, AR 72758-8258
Mailing address
4206 W New Hope Rd
Rogers, AR 72758-8258
Phone (479) 621-0958
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD16264 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4206 W New Hope Rd
Rogers, AR 72758
Phone (479) 621-0958
Organizations & group practices 2
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.
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- 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.