Individual provider Active NPI

Vera Russel, PHARMD

  • Pharmacist
  • Round Rock, TX
National Provider Identifier
1932862760
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68491 Issued in TX
Practice address
1301 N a W Grimes Blvd Apt 414
Round Rock, TX 78665-3463
Phone
(323) 333-8889
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68491 TX Primary

Addresses

Primary practice location

1301 N a W Grimes Blvd Apt 414
Round Rock, TX 78665-3463

Mailing address

1301 N a W Grimes Blvd Apt 414
Round Rock, TX 78665-3463
Phone (323) 333-8889

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
68491TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1932862760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N A W GRIMES BLVD APT 414",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653463",
            "telephone_number": "323-333-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N A W GRIMES BLVD APT 414",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653463",
            "telephone_number": "323-333-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSEL",
        "first_name": "VERA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.