Madison Russell

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR71275 Issued in ME

Practice address

48 Portland Rd
Kennebunk, ME 04043-6631

Phone

(207) 467-8299

NPI assigned

Mar 7, 2023

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 and National Provider Directory roles.

• CVS State Capital LLC

  • Pharmacy
  • Auburn, ME
  • NPI 1164140398
  NPD (past)
• CVS State Capital, L.L.C.

  • Pharmacy
  • Kennebunk, ME
  • NPI 1962644708
  NPD (past)

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871293852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040870503",
            "telephone_number": "207-432-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PORTLAND RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436631",
            "telephone_number": "207-467-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR71275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Roy, MSPT
• Rsu # 21
• Rsu 21
• Clifford B Rubin, DO
• Liana Rubinoff, FNP-BC
• Helen F. Ryan, MD
• Meredith B Ryan, NP
• S & S Dental Group
• Peter J Sacchetti, M.D.
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

• Pharmacist in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.