Active NPI
Russell M Easter
- Pharmacist
- Ruidoso, NM
National Provider Identifier
1831322163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00005701
- Practice address
- 138 Sudderth Dr
Ruidoso, NM 88345-6025 - Phone
- (575) 257-1566
- Fax
- (575) 257-4600
- NPI assigned
- Sep 3, 2009
- Last updated
- Oct 12, 2009
- Sex
- Male
- 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 | RP00005701 | NM | Primary |
Addresses
Primary practice location
138 Sudderth Dr
Ruidoso, NM 88345-6025
Mailing address
138 Sudderth Dr
Ruidoso, NM 88345-6025
Phone (575) 257-1566
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00005701 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1831322163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 SUDDERTH DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456025",
"telephone_number": "575-257-1566",
"fax_number": "575-257-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 SUDDERTH DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456025",
"telephone_number": "575-257-1566",
"fax_number": "575-257-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTER",
"first_name": "RUSSELL",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-03",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00005701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.