Active NPI
Emily Jane Russell, PHARMD
- Pharmacist
- Aiken, SC
National Provider Identifier
1891211975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37662
- Practice address
- 110 Price Ave
Aiken, SC 29803-7395 - Phone
- (803) 648-1776
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH030104 | GA | |
| Pharmacist | 183500000X | 37662 | SC | Primary |
Addresses
Primary practice location
110 Price Ave
Aiken, SC 29803-7395
Mailing address
110 Price Ave
Aiken, SC 29803-7395
Phone (803) 648-1776
Other practice location 1
333 Newberry St NW
Aiken, SC 29801-3929
Phone (803) 649-1776
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH030104 | GA | MD | Pharmacist |
| 37662 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M J W Corportation | Past | Accepting new patients | |
| MJW Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Family Pharmacy South Aiken
- Durable Medical Equipment & Medical Supplies
- Aiken, SC
- NPI 1659572345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1891211975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PRICE AVE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037395",
"telephone_number": "803-648-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PRICE AVE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037395",
"telephone_number": "803-648-1776"
}
],
"practiceLocations": [
{
"address_1": "333 Newberry St NW",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298013929",
"country_code": "US",
"telephone_number": "803-649-1776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "EMILY",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030104",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
- Rural Health Services, Inc. (Women and Children's Center)
- Rural Health Services, Inc. (ABA Obstetrics and Gynecology)
- Rural Health Services, Inc. (Clyburn Center for Primary Care Mobile Unit)
- Katlyn Rush, DPT
- Ariel Russell
- Magnolia Umali Russell, RDN,LD
- Lynn Rutland-Addy, LPC
- RWW Home & Community Rehab Services, Inc. (Rehab Without Walls NeuroSolutions)
- Patricia Ryan, LISW
- Rachel Moulton Ryan, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.