Russell Boblet
Individual provider Active NPI Pharmacist · Coldwater, MI
NPI 1679498596 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1679498596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302026768 (MI)
- Practice address
- 529 Maple LN
Coldwater, MI 49036-8317 - Phone
- (269) 420-2990
- NPI assigned
- Aug 11, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302026768 | MI | Yes |
Addresses
Primary practice location
529 Maple LN
Coldwater, MI 49036-8317
Mailing address
529 Maple LN
Coldwater, MI 49036-8317
Phone (269) 420-2990
Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.