MR. RYAN RUSSELL (NPI# 1669823647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669823647 |
| Entity Type | Individual |
| Full Name | MR. RYAN RUSSELL |
| Credential | PHARMD |
| Practice Address |
415 6th St Lewiston ID 83501-2431 |
| Practice Telephone | 2087995626 |
| Practice Fax Number | 2087995424 |
| Mailing Telephone | 2087995626 |
| Mailing Fax Number | 2087995424 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P7514 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619238755 | Ryan William Russell | Pharmacist | 5574 Everglades St Ste A, Ventura, CA 93003-6542 | 2012-06-05 |
| 1154963114 | Ryan J Russell | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2019-10-11 |
| 1841751187 | Ryan Russell | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2019-03-28 |
| 1740773019 | Ryan S Russell | Social Worker | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2018-06-12 |
| 1366975906 | Ryan William Russell | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-04-11 |
| 1265890669 | Ryan J Russell | Chiropractor | 406 E South Blvd, Crawfordsville, IN 47933-3762 | 2016-02-01 |
| 1063889848 | Ryan Nelson Russell | Chiropractor | 1580 Montgomery Hwy, Suite 14, Hoover, AL 35216-4586 | 2015-08-27 |
| 1689931602 | Ryan Cory Russell | Anesthesiology | 2401 S 31st St, Ms-20-d304, Temple, TX 76508-0001 | 2012-04-15 |
| 1245465467 | Ryan Michael Russell | Pharmacist | 12266 De Paul Dr, Suite 105, Bridgeton, MO 63044-2514 | 2009-05-18 |
| 1710175559 | Ryan A Russell | Prosthetist | 8540 Reseda Blvd, Northridge, CA 91324-4628 | 2007-10-05 |
| Street Address |
415 6TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414595 | William Westel Rowe | Internal Medicine | 415 6th St, Lewiston, ID 83501-2434 | 2005-08-22 |
| 1558995316 | Hospitalist Medicine Physicians of Idaho- Nampa Pllc | Emergency Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2020-03-02 |
| 1003465360 | Kyle James Daly | Nurse Anesthetist, Certified Registered | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-10 |
| 1184273708 | Kevin Dombey | Physician Assistant | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-06 |
| 1952962813 | Andrea Bowen | Social Worker | 415 6th St, Lewiston, ID 83501-2431 | 2019-06-21 |
| 1881167609 | Christie Kytonen | Licensed Practical Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2019-01-03 |
| 1295206134 | Nicholas Tieu | Physician Assistant | 415 6th St, Lewiston, ID 83501-2434 | 2018-12-17 |
| 1932670866 | Jerilyn R Bodey | Nurse Practitioner | 415 6th St, Lewiston, ID 83501 | 2018-12-17 |
| 1154800522 | Joanne Vestal | Pharmacist | 415 6th St, Lewiston, ID 83501-2434 | 2018-08-07 |
| 1174017701 | Samantha Lynn Musser | Registered Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| 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 |
|---|---|---|---|---|
| 1295111631 | Ryan Terrence O'laughlin | Pharmacist | 481 Morgan Dr, Lewiston, NY 14092-1014 | 2015-08-08 |
| 1477939593 | Robert Alan Mayer | Pharmacist | 3020 6th St # A, Lewiston, ID 83501-4653 | 2015-07-31 |
| 1447636535 | Dexter Peele | Pharmacist | 320 Piney Woods Rd, Lewiston, NC 27849-9204 | 2015-07-30 |
| 1861754459 | Christina M Hammond | Pharmacist | 710 Burrell Ave, Lewiston, ID 83501-4985 | 2012-06-11 |
| 1982965513 | Sharon J Wood | Pharmacist | 274 Reservoir Dr, Lewiston, ID 83501-9637 | 2012-05-30 |
| 1457617508 | Mark Mitchell Mouzakis | Pharmacist | 2855 S County Road 489, Lewiston, MI 49756-8155 | 2012-04-03 |
| 1194001230 | Scott Mason Eustis | Pharmacist | 166 Old Webster Rd, Lewiston, ME 04240-1513 | 2011-11-02 |
| 1992080964 | Bobbi J Heitstuman | Pharmacist | 332 Thain Rd, Lewiston, ID 83501-5337 | 2011-10-20 |
| 1124329651 | Richard Byron Robertson | Pharmacist | 2330 Nez Perce Dr, Lewiston, ID 83501-4107 | 2010-11-15 |
| 1821306200 | Lynsey Janelle Plummer | Pharmacist | 987 Lisbon St, Lewiston, ME 04240-5747 | 2010-09-19 |
| Find all providers in LEWISTON | ||||
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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.