Active NPI
Russel Carr
- Pharmacist
- Rochester Hills, MI
National Provider Identifier
1922382837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302032785
- Practice address
- 2050 S Rochester Rd
Rochester Hills, MI 48307-3856 - Phone
- (248) 652-4429
- NPI assigned
- Oct 11, 2011
- Last updated
- Oct 11, 2011
- 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 | 5302032785 | MI | Primary |
Addresses
Primary practice location
2050 S Rochester Rd
Rochester Hills, MI 48307-3856
Mailing address
2050 S Rochester Rd
Rochester Hills, MI 48307-3856
Phone (248) 652-4429
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 |
|---|---|---|---|
| 5302032785 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1922382837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 S ROCHESTER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073856",
"telephone_number": "248-652-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 S ROCHESTER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073856",
"telephone_number": "248-652-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "RUSSEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302032785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.