Active NPI
Ryan William Russell, BS PHARMACY
- Pharmacist
- Ventura, CA
National Provider Identifier
1619238755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 49238
- Practice address
- 5574 Everglades St Ste a
Ventura, CA 93003-6542 - Phone
- (805) 642-0555
- Fax
- (805) 642-1027
- NPI assigned
- Jun 5, 2012
- Last updated
- Jun 5, 2012
- Sex
- Male
- Sole proprietor
- No
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 | RPH 49238 | CA | Primary |
Addresses
Primary practice location
5574 Everglades St Ste a
Ventura, CA 93003-6542
Mailing address
5574 Everglades St Ste a
Ventura, CA 93003-6542
Phone (805) 642-0555
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 49238 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmerica Drug Systems LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1619238755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5574 EVERGLADES ST STE A",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036542",
"telephone_number": "805-642-0555",
"fax_number": "805-642-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5574 EVERGLADES ST STE A",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036542",
"telephone_number": "805-642-0555",
"fax_number": "805-642-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "RYAN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "BS PHARMACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 49238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.