DR. AMANDA WILLIAMS RUSSELL (NPI# 1760519516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760519516 |
| Entity Type | Individual |
| Full Name | DR. AMANDA WILLIAMS RUSSELL |
| Credential | PHARMD |
| Practice Address |
1403 Russell Ave Jefferson City TN 37760-2530 |
| Mailing Address |
3925 Settlers Trl Kodak TN 37764-1363 |
| Practice Telephone | 8654753836 |
| Mailing Telephone | 8657404742 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0000026943 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750859328 | Amanda Lee Russell | Occupational Therapy Assistant | 87 Division St, Ballston Spa, NY 12020-1006 | 2018-11-12 |
| 1851841969 | Amanda Louise Russell | Social Worker | 1315 Highway 2 Ste 3, Sandpoint, ID 83864-2724 | 2016-10-12 |
| 1003236902 | Amanda Russell | Specialist/Technologist | 5 Highland St, Amesbury, MA 01913-2215 | 2014-04-18 |
| 1649557463 | Amanda Marie Russell | Social Worker | 3819 E 15th St, Tulsa, OK 74112-5908 | 2011-11-08 |
| 1235745316 | Amanda Leigh Russell | Counselor | 2180 Union Ave, Memphis, TN 38104-4205 | 2020-09-23 |
| 1932753902 | Amanda Russell | Nurse Practitioner | 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 | 2019-07-29 |
| 1972094332 | Amanda Russell | Behavior Technician | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464-3682 | 2018-05-22 |
| 1730692559 | Amanda Russell | Social Worker | 331 Main St, Norwich, CT 06360-5836 | 2017-11-15 |
| 1528436888 | Amanda Russell | Social Worker | 439 Breeze St Ste 200, Craig, CO 81625-2646 | 2015-09-03 |
| 1114312295 | Amanda Russell | Family Medicine | 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 | 2015-04-05 |
| Street Address |
1403 RUSSELL AVE |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104905884 | Murphys Sav-mor Pharmacy Inc | Pharmacy | 1403 Russell Ave, Jefferson City, TN 37760-2530 | 2006-11-03 |
| 1801495858 | Matthew Hobbs | Pharmacist | 1403 Russell Ave, Jefferson City, TN 37760-2530 | 2020-10-21 |
| 1003028010 | Miguel A Bonet | Pharmacist | 1403 Russell Ave, Jefferson City, TN 37760-2530 | 2007-05-03 |
| 1245357185 | Stephanie M James | Pharmacist | 1403 Russell Ave, Jefferson City, TN 37760-2530 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| 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 |
|---|---|---|---|---|
| 1639706872 | Megan Fast | Pharmacist | 3425 W Truman Blvd, Jefferson City, MO 65109-5713 | 2020-03-26 |
| 1144790684 | Comprehensive Pharmaceutical Services, Inc. | Pharmacist | 3432 W Truman Blvd Ste 201, Jefferson City, MO 65109-0698 | 2018-11-27 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1578859161 | Debi Sue Marsh | Pharmacist | 630b E High St, Jefferson City, MO 65101-3219 | 2011-06-22 |
| 1699007930 | Jerry A Schupp | Pharmacist | 2304 Missouri Blvd, Jefferson City, MO 65109-4729 | 2010-02-11 |
| 1780853291 | Richard D. Sartor | Pharmacist | 226 E High St, Jefferson City, MO 65101-3207 | 2008-02-28 |
| 1821193053 | Uldis V Pironis | Pharmacist | 751 S Stadium, Jefferson City, MO 65109 | 2006-09-13 |
| 1831197078 | Rhonda Alexander Driver | Pharmacist | 2023 Saint Marys Blvd, Jefferson City, MO 65109-1101 | 2005-07-12 |
| 1932103686 | George Louis Oestreich | Pharmacist | 3714 Taylors Ridge Ct, Jefferson City, MO 65109-5882 | 2005-06-10 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
Please comment or provide details below to improve the information on DR. AMANDA WILLIAMS 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.