RUSELLE PHAM (NPI# 1629678453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629678453 |
| Entity Type | Individual |
| Full Name | RUSELLE PHAM |
| Credential | PHARMD |
| Practice Address |
1821 S Padre Island Dr Corpus Christi TX 78416-1398 |
| Practice Telephone | 3618545804 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 65693 | TX | Pharmacy Service Providers |
| Street Address |
1821 S PADRE ISLAND DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78416-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417989799 | Janet Marie Pena | Optometrist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2006-07-07 |
| 1366043622 | Chandravadan Gordhanbhai Patel | Pharmacist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2020-11-03 |
| 1295335917 | Birva Shah | Pharmacist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2020-10-30 |
| 1790385599 | Grace Segura | Pharmacist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2020-10-29 |
| 1457872566 | Jpod LLC | Optometrist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2017-06-28 |
| 1447350434 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2006-09-22 |
| 1790702959 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295020675 | Wendelene Nicole Turner | Dentist | 1620 S Padre Island Drive, Suite 250, Corpus Christi, TX 78416 | 2011-06-14 |
| 1346456613 | West Oso Isd | Local Education Agency (LEA) | 5050 Rockford Drive, Corpus Christi, TX 78416 | 2007-05-15 |
| 1184758377 | Thomas Willard Vitz | Dentist | 1620 S. Padre Island Drive, Suite 250, Corpus Christi, TX 78416 | 2007-03-16 |
| 1710908470 | Christus Spohn Family Health Center - Westside | Family Medicine | 47617 Greenwood, Corpus Christi, TX 78416 | 2006-07-21 |
| 1003845108 | City of Corpus Christi | Clinical Medical Laboratory | 1702 Hornerd, Corpus Christi, TX 78416 | 2006-07-01 |
| 1124530357 | Mayra Elizabeth Andrade | Nurse Practitioner | 4617 Greenwood Dr, Corpus Christi, TX 78416 | 2017-10-27 |
| 1093883688 | Corpus Christi Adult Day Care Ltd. | Clinic/Center | 2020 Gollihar Rd, Corpus Christi, TX 78416-1125 | 2006-12-01 |
| 1467929893 | Corina Ashley Rodriguez | Specialist/Technologist | 1818 Trojan Dr, Corpus Christi, TX 78416-1319 | 2018-10-24 |
| 1063658847 | Safety Extensions | Religious Nonmedical Health Care Institution | 4922 Waterfall St, Corpus Christi, TX 78416-1321 | 2008-12-27 |
| 1467660027 | Steven V Hoffman | Hearing Instrument Specialist | 1710 S Padre Island Dr, Corpus Christi, TX 78416-1339 | 2007-05-18 |
| Find all providers in zip 78416 | ||||
| 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 |
|---|---|---|---|---|
| 1003416918 | Elizabeth R Kiolbassa | Pharmacist | 1821 Spid Dr, Corpus Christi, TX 78416-1398 | 2020-10-29 |
| 1063029775 | Cuong Cao | Pharmacist | 1301 Airline Rd, Corpus Christi, Corpus Christi, TX 78412 | 2020-09-26 |
| 1861006736 | Ifeyinwa B Nwolisa | Pharmacist | 4101 Ih 69, Suite C, Corpus Christi, TX 78410 | 2020-09-08 |
| 1194229674 | Yolanda Judith Villarreal | Pharmacist | 13725 Northwest Blvd Ste 130, Corpus Christi, TX 78410-5123 | 2018-03-20 |
| 1306386198 | John Carlton Grantham | Pharmacist | 4530 N Shea Pkwy, Corpus Christi, TX 78413-3327 | 2017-02-28 |
| 1174063069 | Leila Samadi | Pharmacist | 6005 Lago Vista Dr, Corpus Christi, TX 78414-6341 | 2017-02-27 |
| 1255885364 | Damian Abner Mireles | Pharmacist | 6301 Meadowvista Dr Apt 1037, Corpus Christi, TX 78414-2659 | 2016-08-05 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1548635501 | Hasnain Hashmi | Pharmacist | 1701 Ennis Joslin Rd Apt 313, Corpus Christi, TX 78412-4374 | 2015-12-02 |
| 1740657022 | Jennifer Pindroh | Pharmacist | 902 Airport Rd # Rf, Corpus Christi, TX 78405-3513 | 2015-08-21 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78416 |
Please comment or provide details below to improve the information on RUSELLE PHAM.
| 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.