Russell Duane Jones, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

12295 Issued in OR

Practice address

16625 SE 362ND Dr
Sandy, OR 97055-9247

Phone

(503) 668-2363

Fax

(503) 668-2327

NPI assigned

Feb 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Fred Meyer Stores Inc.

  • Community/Retail Pharmacy
  • Lynnwood, WA
  • NPI 1558235762
  NPD (past)

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1376817874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16625 SE 362ND DR",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559247",
            "telephone_number": "503-668-2363",
            "fax_number": "503-668-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16625 SE 362ND DR",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559247",
            "telephone_number": "503-668-2363",
            "fax_number": "503-668-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RUSSELL",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "12295",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0012295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Dianne Jensen, M.S.W.
• Tina Jeo, O.D.
• Timothy Paul Joachim
• Christian L Johnson, DC
• Deborah Lynn Johnson, M. A.
• Julianne Kalmbach, LMT 21776
• Teresa Dawn Kehrli, LPC
• Hannah Meraiah Kilbury
• Elizabeth Marie Kilty, R.N.
• Melissa Knowles

• Pharmacist in Sandy, OR
• Providers in Sandy, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.