Active NPI
Russell T Attridge, PHARM.D.
- Pharmacist
- San Antonio, TX
National Provider Identifier
1407088420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46189
- Practice address
- 5226 Tomas Cir
San Antonio, TX 78240-2074 - Phone
- (806) 535-0808
- NPI assigned
- Aug 10, 2009
- 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 | 46189 | TX | Primary |
Addresses
Primary practice location
5226 Tomas Cir
San Antonio, TX 78240-2074
Mailing address
5226 Tomas Cir
San Antonio, TX 78240-2074
Phone (806) 535-0808
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 |
|---|---|---|---|
| 46189 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1407088420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5226 TOMAS CIR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782402074",
"telephone_number": "806-535-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5226 TOMAS CIR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782402074",
"telephone_number": "806-535-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTRIDGE",
"first_name": "RUSSELL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.