RUSSELL TRAVIS (NPI# 1144594532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144594532 |
| Entity Type | Individual |
| Full Name | RUSSELL TRAVIS |
| Credential | RPH |
| Practice Address |
1177 Waverly Dr Albany OR 97321 |
| Mailing Address |
22646 Pamplico Dr Santa Clarita CA 91350 |
| Practice Telephone | 5419676448 |
| Mailing Telephone | 3106128066 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 1807 | AK | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 39414 | CA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 7463 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649349036 | Russell Lee Travis | Neurological Surgery | 2343 Alexandria Dr, Suite 225, Lexington, KY 40504-3281 | 2006-11-07 |
| Street Address |
1177 WAVERLY DR |
| City | ALBANY |
| State | OR |
| Zip Code | 97321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1639441256 | Jonathan J Yoder | Pharmacist | 1177 Waverly Drive, Albany, OR 97321 | 2012-01-27 |
| Find all providers in zip 97321 | ||||
| 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 |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1649889726 | Christopher John Moorvartian | Pharmacist | 881 Meadow Ct Ne, Albany, OR 97322-3501 | 2020-07-24 |
| 1639792930 | Cadesia Gail Irvin | Pharmacist | 304 Virginia Ave, Albany, GA 31705-4548 | 2020-05-20 |
| 1326669300 | Thuha T Nguyen | Pharmacist | 2414 Sylvester Hwy, Albany, GA 31705-2469 | 2020-05-01 |
| 1205462462 | Laura Dunn-mahar | Pharmacist | 153 Central Ave Ste 1, Albany, NY 12206-2941 | 2020-03-19 |
| 1275178576 | Ccpb | Pharmacist | 903 N Cross St, Albany, KY 42602-1617 | 2019-11-10 |
| 1801430624 | Robert Joseph Esponge IIi | Pharmacist | 29148 S Montpelier Rd, Albany, LA 70711-4320 | 2019-11-05 |
| 1275038721 | Nicholas Bowen | Pharmacist | 728 Madison Ave # B1, Albany, NY 12208-3302 | 2018-03-27 |
| 1275045965 | Kyung Oh | Pharmacist | 713 Spokane Ave, Albany, CA 94706-1710 | 2017-11-02 |
| 1346759669 | Stephanie Tchen | Pharmacist | 315 S. Manning Blvd, Albany, NY 12208 | 2017-09-29 |
| Find all providers in ALBANY | ||||
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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.