Active NPI
Russell C Fisher, R.PH.
- Pharmacist
- Kilgore, TX
National Provider Identifier
1407183544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22840
- Practice address
- 701 US Highway 259 N
Kilgore, TX 75662-6041 - Phone
- (903) 983-2892
- NPI assigned
- Nov 10, 2009
- Last updated
- Nov 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 | 22840 | TX | Primary |
Addresses
Primary practice location
701 US Highway 259 N
Kilgore, TX 75662-6041
Mailing address
701 US Highway 259 N
Kilgore, TX 75662-6041
Phone (903) 983-2892
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22840 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1407183544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 US HIGHWAY 259 N",
"city": "KILGORE",
"state": "TX",
"postal_code": "756626041",
"telephone_number": "903-983-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 US HIGHWAY 259 N",
"city": "KILGORE",
"state": "TX",
"postal_code": "756626041",
"telephone_number": "903-983-2892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "RUSSELL",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-10",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "22840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kilgore, TX
- Conicia Nicole Ector, LVN
- Curtis Evans, PTA
- Evergreen Presbyterian Ministries of Texas, Inc. (Evergreen Stevens Community Home)
- Esther Gayle Ferrell, FNP-BC
- Kyle David Ferro, D.D.S.
- James E. Foster, MD
- Jennifer Darlene Franks, BSN RN
- La Tamera D Fry, LAT
- Darrell Layne Ganus, MED, LAT, ATC
- Michael Gardner, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.