Active NPI
Richard Russo, BS, PHARM.
- Pharmacist
- Langley, WA
National Provider Identifier
1629466776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00041665
- Practice address
- 5491 Bayview Rd
Langley, WA 98260-9763 - Phone
- (206) 992-1809
- NPI assigned
- Dec 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | PH00041665 | WA | Primary |
Addresses
Primary practice location
5491 Bayview Rd
Langley, WA 98260-9763
Mailing address
PO Box 99
Freeland, WA 98249-0099
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 |
|---|---|---|---|
| PH00041665 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1629466776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "FREELAND",
"state": "WA",
"postal_code": "982490099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5491 BAYVIEW RD",
"city": "LANGLEY",
"state": "WA",
"postal_code": "982609763",
"telephone_number": "206-992-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "RICHARD",
"credential": "BS, PHARM.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-23",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00041665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Langley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.