Elisha Russo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

3452 Issued in NH

Practice address

331 Main St
Nashua, NH 03060-4601

Phone

(603) 886-9210

Fax

(603) 886-1442

NPI assigned

Jun 18, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Maxi Drug North Inc

  • Community/Retail Pharmacy
  • Laconia, NH
  • NPI 1275632556
  NPD (past)
• Maxi Drug North Inc

  • Community/Retail Pharmacy
  • Nashua, NH
  • NPI 1437258712
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1699189514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MAIN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030604601",
            "telephone_number": "603-886-9210",
            "fax_number": "603-886-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MAIN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030604601",
            "telephone_number": "603-886-9210",
            "fax_number": "603-886-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ELISHA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ruddock
• Emily Rude, PMH-NP
• Amanda Lee Ruggiero, OTR
• Geroge Frederick Ruppel, PH.D.
• Christina Russell
• Madison Julia Russo, PA-C
• Emily Rutz
• Jessica Ryan, BA
• Walter Matthew Ryan III, DO
• Wendy Ellen Ryback-Soucy, CCC-SLP

• Pharmacist in Nashua, NH
• Providers in Nashua, NH by specialty
• Pharmacist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.