Active NPI
Melody Kaye Russell, PHARM.D.
- Pharmacist
- Morrilton, AR
National Provider Identifier
1710574785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD12791
- Practice address
- 10 Hospital Dr
Morrilton, AR 72110-4510 - Phone
- (501) 354-1460
- NPI assigned
- Dec 24, 2020
- Sex
- Female
- 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 | PD12791 | AR | Primary |
Addresses
Primary practice location
10 Hospital Dr
Morrilton, AR 72110-4510
Mailing address
10 Hospital Dr
Morrilton, AR 72110-4510
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 |
|---|---|---|---|
| PD12791 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1710574785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HOSPITAL DR",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721104510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HOSPITAL DR",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721104510",
"telephone_number": "501-354-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "MELODY",
"middle_name": "KAYE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-24",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD12791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrilton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.