Dr. Michael Russell (NPI# 1780289504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1780289504 |
| Entity Type | Individual |
| Full Name | Dr. Michael Russell |
| Credential | PHARMD |
| Gender | Male |
| Practice Address |
208 W Jackson St Sullivan IL 61951-1454 |
| Practice Telephone | 2177287216 |
| Practice Fax Number | 2177282816 |
| Mailing Address |
208 W Jackson St Sullivan IL 61951-1454 |
| Mailing Telephone | 2177287216 |
| Mailing Fax Number | 2177282816 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 183500000X | Pharmacist | Pharmacy Service Providers | 051.292600 | IL |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1619351715 | Michael Steven Russell | Optometrist | 1112 S Washington St Ste 214, Naperville, IL 60540-7964 | 2015-07-17 |
| 1518279215 | Michael Russell | Psychologist | 4951 Chambers Street - 6th Floor, Ny, NY 10007-1209 | 2010-07-10 |
| 1245414093 | Michael Russell | Non-emergency Medical Transport (VAN) | 4588 N 23rd St, Milwaukee, WI 53209-6201 | 2007-12-27 |
| 1124242821 | Michael Dennis Russell | Chiropractor | 1164 Monroe St, Suite #1, Salinas, CA 93906-3565 | 2007-04-12 |
| 1831282441 | Michael Guy Russell | Social Worker | 8 West Monroe, #907, Chicago, IL 60603 | 2006-10-02 |
| 1962502880 | Michael A Russell | Chiropractor | 18624 Detroit Ave, Lakewood, OH 44107-3202 | 2006-09-22 |
| 1134139157 | Michael A Russell | Dentist | 2240 N Highway 89, Suite A, Harrisville, UT 84404-2651 | 2006-08-09 |
| 1285640128 | Michael Russell | Counselor | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2006-07-31 |
| 1255304887 | Michael Lee Russell Sr. | Clinical Neuropsychologist | Hq, Tradoc, Suite 412 Atbo-m, Bldg 82, 60 Ingalls Road, Fort Monroe, VA 23651-1032 | 2006-02-13 |
| Find all providers with the same name | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548511819 | Cindi L Reed | Pharmacist | 17 N Hamilton St, Sullivan, IL 61951-1452 | 2012-09-27 |
| 1871599589 | Edward Joseph Walker | Pharmacist | 13 W Jackson St, Sullivan, IN 47882-1503 | 2005-06-27 |
| 1518562909 | Cristie Walker | Pharmacist | 275 S Section St, Sullivan, IN 47882-1808 | 2020-12-02 |
| 1336744333 | Andrew Hardiek | Pharmacist | 208 W Jackson St, Sullivan, IL 61951-1454 | 2020-11-30 |
| 1356945711 | Jason Lambert | Pharmacist | 275 S Section St, Sullivan, IN 47882-1808 | 2020-11-25 |
| 1861095622 | Jace Corie Biggs | Pharmacist | 275 S Section St, Sullivan, IN 47882-1808 | 2020-11-16 |
| 1649871237 | Brandilynn Siess | Pharmacist | 350 Park Ridge Rd, Sullivan, MO 63080-3334 | 2020-11-02 |
| 1417557265 | Rebecca Levy | Pharmacist | 350 Park Ridge Rd, Sullivan, MO 63080-3334 | 2020-10-30 |
| 1780284638 | Gina Westermeier | Pharmacist | 350 Park Ridge Rd, Sullivan, MO 63080-3334 | 2020-10-29 |
| 1043810153 | Jennifer Rae Decoursey | Pharmacist | 757 W Wolfe St, Sullivan, IN 47882-7116 | 2020-10-28 |
| Find all providers in SULLIVAN | ||||
| Street Address |
208 W JACKSON ST |
| City | SULLIVAN |
| State | IL |
| Zip Code | 61951-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336744333 | Andrew Hardiek | Pharmacist | 208 W Jackson St, Sullivan, IL 61951-1454 | 2020-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497104558 | Laura Ellis | Speech-Language Pathologist | 1 Masonic Way, Sullivan, IL 61951 | 2016-06-09 |
| 1134561665 | Murray Chiropractic and Acupuncture, LLC | Chiropractor | 221 N Anderson St, Sullivan, IL 61951-1001 | 2013-07-25 |
| 1427450220 | Harley Chiropractic, LLC | Chiropractor | 221 N Anderson St, Sullivan, IL 61951-1001 | 2014-09-23 |
| 1104822568 | Patricia E Carr | Nurse Practitioner | 1220 W Jackson St, Sullivan, IL 61951-1032 | 2005-06-21 |
| 1396789590 | Healthcom, Inc | Emergency Response System Companies | 1600 W Jackson St, Sullivan, IL 61951-1066 | 2006-06-16 |
| 1598275646 | Janice Althoff | Speech-Language Pathologist | 910 N Graham St, Sullivan, IL 61951-1114 | 2017-10-03 |
| 1134639289 | Anne Margaret Osthoff | Speech-Language Pathologist | 910 N Graham St, Sullivan, IL 61951-1114 | 2017-10-03 |
| 1891857447 | William Earl Alwerdt | Dentist | 110 N Hamilton St, Sullivan, IL 61951-1405 | 2006-12-13 |
| 1548511819 | Cindi L Reed | Pharmacist | 17 N Hamilton St, Sullivan, IL 61951-1452 | 2012-09-27 |
| 1306466263 | Reed Pharmacies, LLC | Family Medicine | 17 N Hamilton St, Sullivan, IL 61951-1452 | 2020-04-21 |
| Find all providers in zip 61951 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.