Organization Active NPI

Western MD Pharmaceutical Services

  • Pharmacist
  • Hagerstown, MD
National Provider Identifier
1528055985
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P00898 Issued in MD
Legal business name
WESTERN MD PHARMACEUTICAL SERVICES
Doing business as
Russo's Rx
Practice address
25 N Cannon Ave
Hagerstown, MD 21740-4918
Phone
(301) 791-5220
Fax
(301) 791-5189
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Mr. David Michael Russo, P.D.
Title
President
Phone
(301) 791-5220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X P00898 MD Primary
Durable Medical Equipment & Medical Supplies 332B00000X P00898 MD

Addresses

Primary practice location

25 N Cannon Ave
Hagerstown, MD 21740-4918

Mailing address

25 N Cannon Ave
Hagerstown, MD 21740-4918
Phone (301) 791-5220

Other identifiers 1

IdentifierTypeStateIssuer
2111487OtherNABP

Other names 1

  • Russo's Rx Doing business as

National Provider Directory

National Provider Directory

Locations

25 N Cannon Ave
Hagerstown, MD 21740
Phone (301) 791-5220

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1528055985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N CANNON AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404918",
            "telephone_number": "301-791-5220",
            "fax_number": "301-791-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANNON AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404918",
            "telephone_number": "301-791-5220",
            "fax_number": "301-791-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MD PHARMACEUTICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-791-5220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "P00898",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "P00898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2111487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russo's Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.