Active NPI
Russell C Horne, PHARMD, MBA, RPH
- Pharmacist
- Lubbock, TX
National Provider Identifier
1508239716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22712
- Practice address
- 5005 118TH St
Lubbock, TX 79424-7635 - Phone
- (062) 410-3548
- NPI assigned
- Nov 10, 2015
- 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 | 22712 | TX | Primary |
Addresses
Primary practice location
5005 118TH St
Lubbock, TX 79424-7635
Mailing address
5005 118TH St
Lubbock, TX 79424-7635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270133 | Other | NABP |
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
- Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22712 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713052800000",
"number": "1508239716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 118TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794247635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 118TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794247635",
"telephone_number": "062-410-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "RUSSELL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-10",
"last_updated": "2024-04-14",
"certification_date": "2024-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "22712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "270133",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.