Kristen Russell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

054961 Issued in NY

Practice address

205 Park Club LN
Williamsville, NY 14221-5239

Phone

(716) 843-7886

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1730704131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 MANCHESTER PARK DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARK CLUB LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215239",
            "telephone_number": "716-843-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KRISTEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa A Rush, M.D.
• Anna Russell, PA
• Ashley Russell, OD
• James Russell Jr., DO
• Jennifer C Russell, LMT
• Lisa May Russell, LCSW
• Victoria Russell, LPN
• Lynn Russi
• Lauren Elizabeth Rutkoski, PA-C
• Pamela Louise Rutkowski, RN

• Pharmacist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.