Individual provider Active NPI

Emily Jane Russell, PHARMD

  • Pharmacist
  • Aiken, SC
National Provider Identifier
1891211975
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37662 Issued in SC
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

Updated by the provider on Feb 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RPH030104GAMDPharmacist
37662SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
M J W Corportation PastSince Dec 13, 2022 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.

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

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.

Verify at the official NPI Registry.