MR. RUSSELL ROY CROSS (NPI# 1447595020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447595020 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL ROY CROSS |
| Credential | RPH |
| Practice Address |
16625 326nd Ave Sandy OR 97055 |
| Mailing Address |
16625 Se 362nd Dr Sandy OR 97055-9247 |
| Practice Telephone | 5036682363 |
| Practice Fax Number | 5036682327 |
| Mailing Telephone | 5036682363 |
| Mailing Fax Number | 5036682327 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7415 | OR | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
7415 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811088529 | Russell R. Cross | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-09-27 |
| Street Address |
16625 326ND AVE |
| City | SANDY |
| State | OR |
| Zip Code | 97055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1043566847 | Clackamas County | Clinic/Center | 37400 Se Bell Street, Sandy, OR 97055 | 2012-07-30 |
| 1992064646 | Mt. Hood Dental Clinic | Clinic/Center | 39880 Pleasant St, Sandy, OR 97055 | 2012-05-15 |
| 1760756472 | Sandy Chiropractic Clinic | Chiropractor | 38953 Pioneer Blvd., Sandy, OR 97055 | 2012-02-27 |
| 1861635328 | Anthony James Turin | Optometrist | 36840 Se Industrial Way Ste D, Sandy, OR 97055 | 2009-04-14 |
| 1982875894 | Bruce A. Biermann D.m.d.,p.c. | Dentist | 39870 Se Pleasant St, Sandy, OR 97055 | 2008-03-19 |
| 1386856862 | Kenneth George Claggett | Dentist | 39055 Pioneer Blvd, Sandy, OR 97055 | 2007-05-04 |
| 1053532218 | Matthew Insuok Sah | Family Medicine | 16605 Bluff Rd, Sandy, OR 97055 | 2007-05-02 |
| 1760539092 | Tammy Ann Nicodemus | Massage Therapist | 38916 Proctor Blvd, Sandy, OR 97055 | 2007-01-05 |
| 1699717868 | Paul S Hansen | Dentist | 39880 Pleasant Street, Sandy, OR 97055 | 2006-06-12 |
| Find all providers in zip 97055 | ||||
| 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 |
|---|---|---|---|---|
| 1386159788 | Margaret M Ahern | Pharmacist | 9098 S 2020 E, Sandy, UT 84093-2524 | 2017-12-06 |
| 1891194569 | Helene Hawkins | Pharmacist | 44727 Se Kleinsmith Rd, Sandy, OR 97055-8643 | 2014-08-19 |
| 1023423282 | Amir Rafiei | Pharmacist | 1016 E Timpie Dr, Sandy, UT 84094-5972 | 2014-06-26 |
| 1265842066 | Joseph Wayne Madsen | Pharmacist | 8607 S Snowbird Dr, Sandy, UT 84093-1824 | 2014-05-01 |
| 1013348531 | Rima Mat | Pharmacist | 8068 S Twelve Pines Dr, Sandy, UT 84094-7209 | 2013-12-09 |
| 1184063323 | Gary D Johnson | Pharmacist | 1897 E Fall View Dr, Sandy, UT 84093-7058 | 2013-06-20 |
| 1659718831 | Janice Lee Erickson | Pharmacist | 585 W 9400 S, #100, Sandy, UT 84070-2526 | 2013-05-29 |
| 1861733420 | Andrea Lee Leone | Pharmacist | 1702 E Sego Lily Dr, Sandy, UT 84092-4322 | 2013-03-07 |
| 1851666507 | Phillip Alma Papenfuss | Pharmacist | 11100 S. Auto Mall Dr, Sandy, UT 84070-4171 | 2012-03-14 |
| 1376817874 | Russell Duane Jones | Pharmacist | 16625 Se 362nd Dr, Sandy, OR 97055-9247 | 2012-02-29 |
| Find all providers in SANDY | ||||
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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.