NPIMap

Individual provider Active NPI

Whitney Danielle Russell, PHARM. D.

  • Pharmacist
  • Trinity, AL
National Provider Identifier
1396090635
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36647 Issued in TN
Practice address
1380 Old Highway 24
Trinity, AL 35673-5600
Phone
(256) 350-3365
Fax
(256) 350-3366
NPI assigned
Jul 23, 2012
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36647 TN Primary

Addresses

Primary practice location

1380 Old Highway 24
Trinity, AL 35673-5600

Mailing address

1380 Old Highway 24
Trinity, AL 35673-5600
Phone (256) 350-3365

Other names 1

  • Whitney Danielle Nichols Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whitney@trinitydrugs.com Direct

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

LicenseStateTypeSpecialty
36647TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Discount Drugs LLC CurrentSince Mar 9, 2020 Accepting new patients
Moultrie Pharmacy at Langtown LLC PastSince Mar 9, 2020 Accepting new patients

Locations

1380 Old Highway 24
Trinity, AL 35673
Phone (256) 350-3365

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1396090635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 OLD HIGHWAY 24",
            "city": "TRINITY",
            "state": "AL",
            "postal_code": "356735600",
            "telephone_number": "256-350-3365",
            "fax_number": "256-350-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 OLD HIGHWAY 24",
            "city": "TRINITY",
            "state": "AL",
            "postal_code": "356735600",
            "telephone_number": "256-350-3365",
            "fax_number": "256-350-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "WHITNEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "36647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whitney@trinitydrugs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1380 Old Highway 24",
            "city": "Trinity",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356735600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "NICHOLS",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trinity, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.