Russell Piazza

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

26644 Issued in CA

Practice address

873 Ricardo Court
San Luis Obispo, CA 93401

Phone

(805) 784-0515

NPI assigned

Mar 2, 2017

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pharmerica Drug Systems LLC

  • Long Term Care Pharmacy
  • Cypress, CA
  • NPI 1114950789
  NPD (past)
• Pharmerica Drug Systems LLC

  • Long Term Care Pharmacy
  • San Luis Obispo, CA
  • NPI 1396778965
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1508306010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 RICARDO CT",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017174",
            "telephone_number": "805-784-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 RICARDO COURT",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-784-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "RUSSELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "26644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Phillips, NP
• Luke Phillips, PT
• Tina Danielle Phipps
• John R Phirman, M.D.
• Lee J Piatek, M.D.
• Melody Jean Pickell, LAC, MSTOM
• Kathleen Mary Piedmonte
• Cassidy A Pierce, AMFT
• Casaundria Faithell Pierro, B.S.W.
• Ryan Pieterick, MD

• All providers in San Luis Obispo, CA
• Geriatric Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.