Active NPI
Daniel Armando Russo, PHARM. D
- Pharmacist
- Tamarac, FL
National Provider Identifier
1659007722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS64419
- Practice address
- 5881 N University Dr
Tamarac, FL 33321-4618 - Phone
- (954) 721-8026
- NPI assigned
- Jul 29, 2022
- 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 | PS64419 | FL | Primary |
Addresses
Primary practice location
5881 N University Dr
Tamarac, FL 33321-4618
Mailing address
5160 NW 76TH Ter
Lauderhill, FL 33351-5029
Phone (305) 542-4890
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS64419 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Publix Pharmacy #0302
- Community/Retail Pharmacy
- Tamarac, FL
- NPI 1356380265
-
dba Publix Pharmacy #2107
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1659007722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5160 NW 76TH TER",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333515029",
"telephone_number": "305-542-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5881 N UNIVERSITY DR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214618",
"telephone_number": "954-721-8026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "DANIEL",
"middle_name": "ARMANDO",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS64419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
- Royal Palm Beach Rehab, Corp. (Florida Orthocare)
- Adrian Maximilian Roznowski, M.D.
- Richard Michael Rubenstein, MD
- Annyelka Pamela Rubio, NUTRITIONIST
- Jean Russell, DDS
- RX Care 17 LLC (Remedy Pharmacy)
- RX Care 17 LLC (Remedy Pharmacy)
- S-H Thirty-Five Opco - Tamarac, LLC (Horizon Bay Vibrant Retirement Living 450)
- S&L Loving Care, LLC (S&L Loving Care)
- Yihad Sabagh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.