RUSSELL LYNN AGEE (NPI# 1326341157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326341157 |
| Entity Type | Individual |
| Full Name | RUSSELL LYNN AGEE |
| Credential | RPH |
| Practice Address |
614 Brandon Ave Sw Roanoke VA 24015-3212 |
| Mailing Address |
3344 Kenwick Trl Roanoke VA 24018-4907 |
| Practice Telephone | 5403429897 |
| Practice Fax Number | 5403425910 |
| Mailing Telephone | 5407611151 |
| Mailing Fax Number | 5403425910 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202010009 | VA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA PHARMACIST LICENSE NUMBER | 0202010009 | 01 |
| Street Address |
614 BRANDON AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24015-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063446847 | Kroger Limited Partnership I | Pharmacy | 614 Brandon Ave Sw, Roanoke, VA 24015-3212 | 2006-07-10 |
| 1245854322 | Ashley Nicole Heath | Pharmacist | 614 Brandon Ave Sw, Roanoke, VA 24015-3212 | 2020-06-03 |
| 1033540695 | Suzanne Stinson | Pharmacist | 614 Brandon Ave Sw, Roanoke, VA 24015-3212 | 2013-12-09 |
| 1376845065 | Elene Stratton | Pharmacist | 614 Brandon Ave Sw, Roanoke, VA 24015-3212 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1518304955 | Blue Ridge Healthcare Partners, LLC | Clinic/Center | 602 Brandon Ave, Suite 222, Roanoke, VA 24015 | 2013-05-24 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| 1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
| 1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
| 1043395825 | Michael Burgoon | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
| 1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
| 1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
| 1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
| Find all providers in zip 24015 | ||||
| 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 |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1609402239 | Xuan Huyen Nguyen | Pharmacist | 4412 Elmgreen Dr, Roanoke, TX 76262-2709 | 2020-03-16 |
| 1225506108 | Jessica Saville | Pharmacist | 101 Elm Ave Se Fl 1, Roanoke, VA 24013-2222 | 2018-11-08 |
| 1972071439 | Jessica Lynn Schad | Pharmacist | 1906 Belleview Ave Se Fl 14, Roanoke, VA 24014-1838 | 2018-11-02 |
| 1851833545 | Rual Fuller Jr. | Pharmacist | 3419 Orange Ave Ne, Roanoke, VA 24012-6422 | 2016-11-10 |
| 1538576053 | Sarah Webb | Pharmacist | 2141 Dale Ave Se, Roanoke, VA 24013-2135 | 2014-07-16 |
| 1881011203 | Neeraja Iyer | Pharmacist | 1932 Summerfield Dr, Roanoke, VA 24012-6768 | 2014-03-24 |
| 1023434958 | Michael Elgohary | Pharmacist | 3114 Honeywood Ln Apt A, Roanoke, VA 24018 | 2014-03-17 |
| 1255755419 | Sam Fontinel | Pharmacist | 5512 Capulet Ct, Roanoke, VA 24018-9368 | 2014-02-08 |
| 1578987871 | Chad Evan Musick | Pharmacist | 3533 Freanklin Rd Sw, Roanoke, VA 26013 | 2014-02-07 |
| Find all providers in ROANOKE | ||||
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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.