DR. KRISTEN MICHELLE RUSSO (NPI# 1841772134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841772134 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN MICHELLE RUSSO |
| Credential | PHARMD |
| Practice Address |
3008 Union Rd Orchard Park NY 14127-1215 |
| Mailing Address |
55 Tiffany Pl East Amherst NY 14051-1817 |
| Practice Telephone | 7166770735 |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 064602 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS OFFICE OF THE PROFESSIONS | 064602 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225517865 | Kristen Russo | Behavior Technician | 1111 Davey Dr, Batavia, IL 60510-8624 | 2018-08-13 |
| 1972868305 | Kristen M Russo | Specialist | 272 Sayville Boulevard, Sayville, NY 11782 | 2012-07-11 |
| 1912415894 | Kristen Jade Russo | Pharmacist | 600 State St, Springfield, MA 01109-4104 | 2018-01-13 |
| 1831223775 | Kristen Russo | Speech-Language Pathologist | 111 Market St, Johnstown, PA 15901-1608 | 2007-03-15 |
| Street Address |
3008 UNION RD |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801025390 | Tina Cercone | Pharmacist | 3008 Union Rd, Orchard Park, NY 14127-1215 | 2009-07-06 |
| 1215550389 | Stephanie B Lanza | Pharmacist | 3008 Union Rd, Orchard Park, NY 14127-1215 | 2020-05-25 |
| 1215213046 | Carolyn Marie Doerr | Pharmacist | 3008 Union Rd, Orchard Park, NY 14127-1215 | 2011-10-25 |
| 1477832509 | Brian Joseph Ames | Pharmacist | 3008 Union Rd, Orchard Park, NY 14127-1215 | 2011-08-07 |
| 1891097549 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3008 Union Rd, Orchard Park, NY 14127-1215 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| 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 |
|---|---|---|---|---|
| 1104344092 | Mallori Anne Ochterski | Pharmacist | 4060 N Buffalo St, Orchard Park, NY 14127-2444 | 2017-08-31 |
| 1235571431 | Michael John Giaccotto | Pharmacist | 2910 Southwestern Blvd, Orchard Park, NY 14127-1451 | 2013-07-29 |
| 1467790543 | Sharon Lynn Sipowicz | Pharmacist | 93 Burbank Dr, Orchard Park, NY 14127-2382 | 2013-01-23 |
| 1710233549 | Kristen Lee Fetzer | Pharmacist | 5622 Amanda Lane, Orchard Park, NY 14127 | 2012-07-30 |
| 1073890299 | Donald Edward Larson Jr. | Pharmacist | 62 Midway Dr, Orchard Park, NY 14127-3040 | 2011-11-16 |
| 1477831998 | Erin E. Mellerski | Pharmacist | 4919 Ellicott Road, Orchard Park, NY 14127 | 2011-08-01 |
| 1205168390 | Jennifer Kubiak | Pharmacist | 6 Tanglewood Dr E, Orchard Park, NY 14127-3942 | 2010-02-01 |
| 1801025390 | Tina Cercone | Pharmacist | 3008 Union Rd, Orchard Park, NY 14127-1215 | 2009-07-06 |
| 1306097092 | Carolyn M Tomani | Pharmacist | 46 Midway Dr, Orchard Park, NY 14127-3040 | 2008-10-01 |
| 1881859031 | Theodore Gerard Pudhorodsky | Pharmacist | 21 Old Farm Rd, Orchard Park, NY 14127-2853 | 2008-07-26 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
Please comment or provide details below to improve the information on DR. KRISTEN MICHELLE RUSSO.
| 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.