Kendall R Russell, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

044505 Issued in MO

Practice address

1232 Branson Hills Pkwy Ste 205
Branson, MO 65616-4188

Phone

(417) 336-4701

Fax

(417) 336-2772

NPI assigned

Sep 22, 2023

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1508645318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E JACQUELINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044314",
            "telephone_number": "417-894-3540",
            "fax_number": "417-336-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 BRANSON HILLS PKWY STE 205",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164188",
            "telephone_number": "417-336-4701",
            "fax_number": "417-336-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18565 Business 13",
            "address_purpose": "LOCATION",
            "city": "Branson West",
            "state": "MO",
            "postal_code": "657379659",
            "country_code": "US",
            "telephone_number": "417-272-8064",
            "fax_number": "417-272-0073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KENDALL",
        "middle_name": "R",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "044505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Bruce Rotton, D.O., FACOS
• RPCS, Inc. (Price Cutter Pharmacy #71)
• Thuy T. Rudy, MS, CASAC, LPC
• Elizabeth Ruggiero, PHD, LPC, LMFT
• Jerrica Russell, PA-C
• Marie J. Sade, FNP
• Timothy Louis Sahagun
• Gregg Joseph Salathe, M.D.
• John D Salmon, M.D.
• Matthew Duane Sams, D.C.

• Pharmacist in Branson, MO
• Providers in Branson, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.