Active NPI
Russell Roy Newlin, RPH
- Pharmacist
- Castle Rock, CO
National Provider Identifier
1629379854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10988
- Practice address
- 560 E Castle Pines Pkwy
Castle Rock, CO 80108-4606 - Phone
- (303) 663-0791
- Fax
- (303) 814-9520
- NPI assigned
- Nov 4, 2010
- 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 | 10988 | CO | Primary |
Addresses
Primary practice location
560 E Castle Pines Pkwy
Castle Rock, CO 80108-4606
Mailing address
560 E Castle Pines Pkwy
Castle Rock, CO 80108-4606
Phone (303) 663-0791
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10988 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | 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": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1629379854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 E CASTLE PINES PKWY",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801084606",
"telephone_number": "303-663-0791",
"fax_number": "303-814-9520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 E CASTLE PINES PKWY",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801084606",
"telephone_number": "303-663-0791",
"fax_number": "303-814-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWLIN",
"first_name": "RUSSELL",
"middle_name": "ROY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-04",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "10988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.