MR. PETER LOUIS RUSSO (NPI# 1063496529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063496529 |
| Entity Type | Individual |
| Full Name | MR. PETER LOUIS RUSSO |
| Credential | RPH |
| Practice Address |
5507 Glenwood Rd Brooklyn NY 11234-1113 |
| Practice Telephone | 7182516444 |
| Practice Fax Number | 7185312294 |
| Mailing Telephone | 7182516444 |
| Mailing Fax Number | 7185312294 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26372 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568598076 | Peter David Russo | Dentist | 53 Montowese St, Branford, CT 06405 | 2007-02-26 |
| 1053485672 | Peter J Russo | Dentist | 567 Southbridge, Auburn, MA 01520 | 2006-11-17 |
| 1679528350 | Peter Martin Russo | Emergency Medicine | 1611 Feather River Blvd, Suite #10, Oroville, CA 95965 | 2006-05-23 |
| 1720627037 | Peter Russo | Physician Assistant | 120 Ochsner Blvd, Gretna, LA 70056-5255 | 2020-01-03 |
| 1588729941 | Peter Joseph Russo | Physician Assistant | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2006-12-26 |
| 1356431456 | Peter John Russo | Physician Assistant | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2006-10-13 |
| 1104846849 | Peter Anthony Russo | Dentist | 18800 Main St, Ste. 201, Huntington Beach, CA 92648-1707 | 2006-07-19 |
| 1790759694 | Peter Anthony Russo | Optometrist | 2160 S 1st Ave, (17w740 22nd Steert, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 | 2006-02-15 |
| Street Address |
5507 GLENWOOD RD |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457340747 | Nascent Drug Inc | Pharmacist | 5507 Glenwood Rd, Brooklyn, NY 11234-1113 | 2005-10-19 |
| 1760465561 | Jonathan L Zevon | Pharmacist | 5507 Glenwood Rd, Brooklyn, NY 11234-1113 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| 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 |
|---|---|---|---|---|
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
| 1417563271 | Kareem Abdelhadi | Pharmacist | 482 E 2nd St, Brooklyn, NY 11218-4504 | 2020-09-17 |
| 1447862495 | Pamella Pisahov | Pharmacist | 1699 E 34th St, Brooklyn, NY 11234-4222 | 2020-08-20 |
| 1013527878 | Amanda Ye | Pharmacist | 1152 67th St Apt 3b, Brooklyn, NY 11219-5949 | 2020-08-06 |
| 1710503891 | Sinai Marisol Polanco Diaz | Pharmacist | 28 Nichols Ave, Brooklyn, NY 11208-1510 | 2020-06-24 |
| 1588284541 | Melissa Aristide | Pharmacist | 1403 E 88th St, Brooklyn, NY 11236-5119 | 2020-04-20 |
| 1255960852 | Michelle Isabella Zeltser | Pharmacist | 2821 Batchelder St, Brooklyn, NY 11235-1897 | 2020-04-06 |
| Find all providers in BROOKLYN | ||||
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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.