Russell Reid Allison, PHARMD
Individual provider Active NPI Pharmacist · Johnson City, TN
NPI 1922585090 · NPPES record last updated Jul 23, 2018
Key facts
- NPI
- 1922585090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 37728 (SC)
- Practice address
- Lamont St & Veterans Way
Johnson City, TN 37604 - Phone
- (423) 926-1171
- NPI assigned
- Jul 23, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37728 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37728 | SC | Yes |
Addresses
Primary practice location
Lamont St & Veterans Way
Johnson City, TN 37604
Mailing address
1185 W Mountain View Rd Apt 1420
Johnson City, TN 37604-2532
Phone (864) 617-1969
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.