DR. JACOB RUSSELL (NPI# 1982931945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982931945 |
| Entity Type | Individual |
| Full Name | DR. JACOB RUSSELL |
| Credential | PHARM D |
| Practice Address |
6255 E Grant Rd Tucson AZ 85712-5804 |
| Practice Telephone | 5202987094 |
| Practice Fax Number | 5208869816 |
| Mailing Telephone | 5202987094 |
| Mailing Fax Number | 5208869816 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S015590 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411963 | Jacob Russell | Dentist | 525 Nautilus St, La Jolla, CA 92037-6139 | 2007-03-06 |
| 1184799876 | Jacob G Russell | Counselor | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2006-11-21 |
| 1972056588 | Jacob Troy Russell | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2016-07-31 |
| 1417318361 | Jacob Robert Russell | Emergency Medicine | 620 Skyline Dr, Jackson, TN 38301 | 2016-03-18 |
| 1942540398 | Jacob Russell | Specialist/Technologist, Other | 320 12th Ave Ne, Norman, OK 73071-5238 | 2013-02-21 |
| Street Address |
6255 E GRANT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750491452 | Costco Wholesale Corporation | Pharmacy | 6255 E Grant Rd, Tucson, AZ 85712 | 2006-08-30 |
| 1013407766 | Annette Gorelik | Pharmacist | 6255 E Grant Rd, Tucson, AZ 85712-5804 | 2018-05-17 |
| 1518350206 | Costco Wholesale Corporation | Hearing Aid Equipment | 6255 E Grant Rd, Tucson, AZ 85712-5804 | 2015-03-05 |
| 1528458676 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 6255 E Grant Rd, Tucson, AZ 85712-5804 | 2015-01-28 |
| 1942607049 | Spencer Steele Marshall | Pharmacist | 6255 E Grant Rd, Tucson, AZ 85712-5804 | 2014-12-04 |
| 1013103167 | David Louis Nanni | Optometrist | 6255 E Grant Rd, Tucson, AZ 85712-5804 | 2007-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| 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 |
|---|---|---|---|---|
| 1851999536 | Holly Peterson | Pharmacist | 1020 W Los Altos Rd, Tucson, AZ 85704-4134 | 2020-10-14 |
| 1538775903 | Jasim Mohammad El-ali | Pharmacist | 652 W Camino Del Oro, Tucson, AZ 85704-4720 | 2020-09-21 |
| 1184241242 | Karley Tranchina | Pharmacist | 3220 W Ina Rd Apt 18106, Tucson, AZ 85741-2172 | 2020-07-06 |
| 1386268522 | Melinda Aragon | Pharmacist | 6030 N Desert Sun Ct, Tucson, AZ 85750-0925 | 2020-06-03 |
| 1265070650 | Megan Kristine Spragg | Pharmacist | 2101 N Jacana Loop, Tucson, AZ 85745-3571 | 2019-12-16 |
| 1487206603 | Briana Choi | Pharmacist | 5755 E River Rd Apt 1710, Tucson, AZ 85750-6712 | 2019-07-09 |
| 1073096749 | Tina Marie Evans | Pharmacist | 6250 E Grant Road, Ste #388, Tucson, AZ 85747 | 2018-09-10 |
| 1417437575 | Steven Daniel Menachof | Pharmacist | 3601 S 6th Ave Bldg 57, Tucson, AZ 85723-0001 | 2018-08-17 |
| 1255828273 | Kimberly Grace Stone | Pharmacist | 6906 E Lightning Dr Unit A, Tucson, AZ 85708-1385 | 2018-04-16 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| Find all providers in TUCSON | ||||
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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.