Gary Stephen Russell, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

008301 Issued in KY

Practice address

1128 N Main St Ste 1
Madisonville, KY 42431-1265

Phone

(270) 825-2775

Fax

(270) 825-0413

NPI assigned

Nov 18, 2020

Sex

Male

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

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Bluegrass I.V. Care, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Madisonville, KY
  • NPI 1417037094
  NPD Authorized official
• Bluegrass Pharmacies Inc

  • Long Term Care Pharmacy
  • Madisonville, KY
  • NPI 1225106057
  NPD Authorized official
• Bluegrass Pharmacies, Inc

  • Pharmacy
  • Madisonville, KY
  • NPI 1437158730
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1821691361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST STE 1",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311265",
            "telephone_number": "270-825-2775",
            "fax_number": "270-825-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST STE 1",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311265",
            "telephone_number": "270-825-2775",
            "fax_number": "270-825-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "GARY",
        "middle_name": "STEPHEN",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "008301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarriel Rollins
• Amanda Diane Ross, CRNA
• Nikki J. Rothwell, PA-C
• John Alan Roy, DMD
• Amanda Nicole Russell, FNP
• Lora A Russell, APRN
• Nicholas Stephen Russell, PHARMD
• Sacred Hands Private Care, LLC
• Steven Bradley Sampson, D.M.D.
• Lindsey K. Sands, PTA

• Pharmacist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Pharmacist in Kentucky

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