Heather Michele Russell

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD13680 Issued in AR

Practice address

2202 N West Ave
El Dorado, AR 71730-3352

Phone

(870) 864-0107

NPI assigned

Feb 21, 2020

Last updated

Feb 21, 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brookshire Grocery Company

  dba Brookshires Pharmacy

  • Community/Retail Pharmacy
  • El Dorado, AR
  • NPI 1972676443
  NPD (past)
• Brookshire Grocery Company

  dba Reasor's Pharmacy #925

  • Community/Retail Pharmacy
  • Tulsa, OK
  • NPI 1831138213
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1831722578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HARDING AVE",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013623",
            "telephone_number": "870-833-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N WEST AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303352",
            "telephone_number": "870-864-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "HEATHER",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD13680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsie Rogers, PHARM D.
• Gena Rene Roshto, MS, OTR/L
• Karen Ann Ross, OTA/L
• Tambre Dee Roush, LMSW
• Andre Rucks
• Ruthie Gibson
• Ryan Hanry, DDS, PA (South Arkansas Pediatric Dentistry)
• Sarah Saffold
• Sama Healthcare Services, PA
• Sama Independent Diagnostic Testing Facility (SAMA HealthCare Services)

• Pharmacist in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Pharmacist in Arkansas

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