Kim Russell, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

74335 Issued in CA

Practice address

18785 Brookhurst St Ste 201
Fountain Valley, CA 92708-7300

Phone

(714) 916-0881

NPI assigned

Jan 18, 2018

Last updated

Apr 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

Interoperability endpoints

• Direct secure messaging: kho137369@direct.llu.edu
• Direct secure messaging: kho533234@direct.memorialcare.org
• Direct secure messaging: kim.hopharmd.p76@direct.nautilus.nextgenshare.com

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1932617305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 WESTPARK PL APT C",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18785 BROOKHURST ST STE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087300",
            "telephone_number": "714-916-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26520 Cactus Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925553927",
            "country_code": "US",
            "telephone_number": "951-486-5157",
            "fax_number": "951-486-4495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KIM",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "74335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritt Rungsisullatanont
• Jessica Rury
• Russell P Rapoza M D a Professional Corporation
• Danielle Marie Russell
• Kendal Corrine Russell
• R. Denis Russell, D.P.M.
• Michael Anthony Russo, MD
• Ryan W Jamison DO Inc
• Brenda Jean Ryan, NP
• Lauren Elizabeth Ryder

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.