Russos Health Mart Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY000755IR Issued in LA

Legal business name

RUSSOS HEALTH MART INC

Practice address

1124 7TH St
Morgan City, LA 70380-1951

Phone

(985) 384-1234

Fax

(985) 384-1233

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Salvadore Russo, RPH

Title

Owner

Phone

(985) 384-1234

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RUSSOS PHARMACY Doing business as

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1376737973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2703",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703812703",
            "telephone_number": "985-384-1234",
            "fax_number": "985-384-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 7TH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801951",
            "telephone_number": "985-384-1234",
            "fax_number": "985-384-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSOS HEALTH MART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "SALVADORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-384-1234",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY000755IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1908194",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1228796",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSSOS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen M Romero
• Sarah Romero, FNP
• James Russ
• Russo Clinic-a Medical Corporation
• Maria L Russo, RN
• Don Monroe Ryan
• Anthony Saleme, M.D.
• William Edward Sanders V, FNP
• Morris Alan Sandler, MD
• Sarah Ann Sanner

• Community/Retail Pharmacy in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.