Active NPI
Western MD Pharmaceutical Services
- Pharmacist
- Hagerstown, MD
National Provider Identifier
1528055985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P00898
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111487 | Other | NABP |
Other names 1
- Russo's Rx
National Provider Directory
National Provider DirectoryLocations
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.