Russell's Pharmacy & Shoppe LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RUSSELL'S PHARMACY & SHOPPE LLC

Practice address

2116 Angier Ave
Durham, NC 27703-4260

Phone

(919) 908-1060

NPI assigned

Jun 5, 2018

Organization subpart

No

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

Authorized official

Name

Darius Russell, PHARMDNPI 1215188040

Title

Pharmacist Manager/Owner

Phone

(919) 908-1060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Russell's Pharmacy & Shoppe Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darius Lamont Russell, PHARM.D.

  • Pharmacist
  • Durham, NC
  • NPI 1215188040
  NPD Authorized official

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1730671629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 ANGIER AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034260",
            "telephone_number": "919-908-1060",
            "fax_number": "919-908-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 ANGIER AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034260",
            "telephone_number": "919-908-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL'S PHARMACY & SHOPPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_title_or_position": "PHARMACIST MANAGER/OWNER",
        "authorized_official_telephone_number": "919-908-1060",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730671629",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell's Pharmacy & Shoppe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madeline Marie Russell
• Scotti Russell
• Shannon Griffin Russell, RDN, LDN
• Shawnesi Russell, CD(DONA)
• Zoe Russell
• Grace Jewell Russo, PT, DPT
• Lisa Ruszczyk, MD
• Althea Shawani Rutherford, PA
• Angela Perrou Rutherford, MS, RD, LDN
• Richard Woodson Rutherford Jr., M.D.

• Community/Retail Pharmacy in Durham, NC
• Providers in Durham, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.