Brian Scott Russell, BS, RPH, DPH, BCMTMS

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS47447 Issued in FL

Practice address

12709 Tayman Farm Rd
Brandywine, MD 20613-2406

Phone

(405) 417-1604

NPI assigned

Aug 3, 2021

Sex

Male

Sole proprietor

Yes

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

Bachelor of Science, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1467126557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 TAYMAN FARM RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206132406",
            "telephone_number": "405-417-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 TAYMAN FARM RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206132406",
            "telephone_number": "405-417-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "credential": "BS, RPH, DPH, BCMTMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "12718",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanna Bailey DDS,PC
• Sarah Anita Rosser
• Shauna Rowe, RDN
• Royal Mental Health Clinic LLC
• Edward Gaynor Rupert, M.D.,P.A.
• Phillip Russell, O.D.
• S and E Mind Reset Center LLC
• Safe Harbor Christian Counseling
• Aremu Kunmi Samuel
• Roxana Sanchez Guzman, LMSW

• Pharmacist in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.