KYLE A RUSSELL (NPI# 1760083166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760083166 |
| Entity Type | Individual |
| Full Name | KYLE A RUSSELL |
| Credential | PHARMD |
| Practice Address |
220 S St, Hwy Ok- 97 Sand Springs OK 74063 |
| Mailing Address |
2750 N 7th St Apt 4121 Broken Arrow OK 74012-2874 |
| Practice Telephone | 9182459523 |
| Mailing Telephone | 9184079859 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17542 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164677969 | Kyle A Russell | Physician Assistant | 6 West Airport Road, Lititz, PA 17543 | 2008-11-20 |
| 1972133890 | Kyle Russell | Nurse Anesthetist, Certified Registered | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-01-20 |
| 1437645611 | Kyle Russell | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2018-07-10 |
| 1245771393 | Kyle Russell | Pedorthist | 921 Ne 13th St, Prosthetics Department, Oklahoma City, OK 73104-5007 | 2017-03-09 |
| Street Address |
220 S ST, HWY OK- 97 |
| City | SAND SPRINGS |
| State | OK |
| Zip Code | 74063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474758 | Sand Springs Dentistry and Braces | Clinic/Center | 152 W. Alexander Blvd, Ste E, Sand Springs, OK 74063 | 2020-10-12 |
| 1689189987 | Constance Rebecca Dimond | Pharmacist | 251 South Hwy 97, Sand Springs, OK 74063 | 2017-12-08 |
| 1104272608 | Rebecca Schulz | Midwife | 20361 W 51st Street, Sand Springs, OK 74063 | 2016-05-13 |
| 1801295266 | Tifhanie Edison | Social Worker | 118 Imperial Blvd, Sandsprings, OK 74063 | 2014-08-21 |
| 1518372770 | Spring Innovations Ok PC | Dentist | 530 Plaza Court, Sand Springs, OK 74063 | 2014-06-26 |
| 1669884987 | James Nelson Cornwell | Family Medicine | 514 Plaza Ct, Sand Springs, OK 74063 | 2014-05-21 |
| 1366874190 | Tim B. Williamson | Acupuncturist | 608 W 41st St, Sand Springs, OK 74063 | 2013-08-03 |
| 1205153483 | Excel Therapy Specialists, LLC | Physical Therapist | 422 Plaza Ct., Ste. A, Sand Springs, OK 74063 | 2010-04-27 |
| 1548592512 | Shannon Kathleen Marie Christmas | Counselor | 401 E Broadway Ct, Suite E, Sand Springs, OK 74063 | 2010-02-02 |
| 1073841144 | Stephanie Sims | Specialist/Technologist, Other | 3812 S Bermuda Ave, Sand Springs, OK 74063 | 2009-11-30 |
| Find all providers in zip 74063 | ||||
| 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 |
|---|---|---|---|---|
| 1285234864 | April Holmes | Pharmacist | 220 S Highway 97, Sand Springs, OK 74063-6571 | 2020-10-31 |
| 1689189987 | Constance Rebecca Dimond | Pharmacist | 251 South Hwy 97, Sand Springs, OK 74063 | 2017-12-08 |
| 1821437187 | Craig Gahring | Pharmacist | 4016 S Highway 97, Sand Springs, OK 74063-3812 | 2013-06-20 |
| 1922315787 | Julie Anne Nix | Pharmacist | 3801 S Highway 97, Sand Springs, OK 74063-3832 | 2010-08-31 |
| 1548582851 | Gary Don Shay | Pharmacist | 1200 E Charles Page Blvd, Sand Springs, OK 74063-8511 | 2010-02-28 |
| 1790894236 | Brent Charles Pritchard | Pharmacist | 540 Plaza Ct, Sand Springs, OK 74063-7915 | 2006-08-29 |
| 1598365124 | Elizabeth Crowder Abbott | Pharmacist | 220 S State Highway 97, Sand Springs, OK 74063-6503 | 2020-11-01 |
| 1093315699 | Adaobi Ezenwa | Pharmacist | 220 S State Highway 97, Sand Springs, OK 74063-6503 | 2020-11-01 |
| 1508472481 | Fabian De Santiago | Pharmacist | 4016 S Highway 97, Sand Springs, OK 74063-3812 | 2020-09-16 |
| 1063026326 | Kayla Marie Owens | Pharmacist | 405 E 2nd St, Sand Springs, OK 74063-7948 | 2020-09-03 |
| Find all providers in SAND SPRINGS | ||||
| City | SAND SPRINGS |
| Zip Code | 74063 |
Please comment or provide details below to improve the information on KYLE A RUSSELL.
| 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.