MR. JOHN RUSSILLO (NPI# 1639500333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639500333 |
| Entity Type | Individual |
| Full Name | MR. JOHN RUSSILLO |
| Credential | RPH |
| Practice Address |
2540 East St Concord CA 94520-1906 |
| Practice Telephone | 9256742901 |
| Mailing Telephone | 9256742901 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33199 | CA | Pharmacy Service Providers |
| Street Address |
2540 EAST ST |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095134 | Gary Gershony | Internal Medicine | 2540 East St, Concord, CA 94520-1906 | 2005-06-30 |
| 1316546856 | Stephanie Tejada | Registered Nurse | 2540 East St, Concord, CA 94520-1906 | 2020-10-24 |
| 1386274389 | Gary Gershony Md, A Medical Corporation | General Acute Care Hospital | 2540 East St, Concord, CA 94520-1906 | 2020-01-19 |
| 1316448525 | Ryan Dysart | Perfusionist | 2540 East St, Concord, CA 94520-1906 | 2018-02-22 |
| 1821519810 | Katie Ahmann | Registered Nurse | 2540 East St, Concord, CA 94520-1906 | 2017-06-29 |
| 1255861233 | Cep America - Psychiatry PC | Psychiatry & Neurology | 2540 East St, Concord, CA 94520-1906 | 2017-06-13 |
| 1275919722 | Erin Kellam Pardee | Physician Assistant | 2540 East St, Concord, CA 94520-1906 | 2015-08-07 |
| 1841687787 | John Muir Medical Center | General Acute Care Hospital | 2540 East St, Concord, CA 94520-1906 | 2015-04-17 |
| 1417361411 | Contra Costa Pathology Associates | Pathology | 2540 East St, Concord, CA 94520-1906 | 2014-06-17 |
| 1962831123 | Grace Ng | Pharmacist | 2540 East St, John Muir Medical Center Concord Campus, Concord, CA 94520-1906 | 2013-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1598376246 | Mazen A Seleem | Pharmacist | 1467 Balhan Dr Apt 106, Concord, CA 94521-3754 | 2020-08-14 |
| 1912538422 | Mohammed Youssef | Pharmacist | 1495 Balhan Dr Apt 208, Concord, CA 94521-3772 | 2020-02-03 |
| 1013477694 | Joseph Pirani | Pharmacist | 1 Granite Pl Ste N200, Concord, NH 03301-3274 | 2019-03-21 |
| 1386112548 | Andrew Barlow | Pharmacist | 631 Gable Oaks Ln Nw, Concord, NC 28027-5203 | 2018-11-06 |
| 1194293498 | Jeffrey Michael Cho | Pharmacist | 954 Rosehedge Ct, Concord, CA 94521-5453 | 2018-11-05 |
| 1720553951 | Lindsi Tillo | Pharmacist | 300 Poplar Station Cir Nw Apt 301, Concord, NC 28027-8363 | 2018-10-03 |
| 1144700261 | Susan Elizabeth Burpee | Pharmacist | 2837 Saint Joseph Dr, Concord, CA 94518-2154 | 2018-08-17 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1558806364 | Kirthana Beaulac | Pharmacist | 649 Cambridge Tpke, Concord, MA 01742-3726 | 2017-01-03 |
| Find all providers in CONCORD | ||||
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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.