MR. RUSSELL DANIEL GARDNER (NPI# 1104977917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104977917 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL DANIEL GARDNER |
| Credential | RPH |
| Practice Address |
3521 B Sw Wilshire Joshua TX 76058 |
| Mailing Address |
164 Sw Brushy Mound Rd Burleson TX 76028-3321 |
| Practice Telephone | 8174843267 |
| Practice Fax Number | 8174843628 |
| Mailing Telephone | 8172955117 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26372 | TX | Pharmacy Service Providers |
| Street Address |
3521 B SW WILSHIRE |
| City | JOSHUA |
| State | TX |
| Zip Code | 76058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790238764 | Src Home Care Jc Inc | Home Health | 474 North Broadway, Suite B, Joshua, TX 76058 | 2016-07-26 |
| 1558746743 | Tamir Saleem | Contractor | 6012 Black Springs Lane, Joshua, TX 76058 | 2015-07-29 |
| 1538407416 | Brookshire Grocery Company | Pharmacy | 1001 Joshua Station Boulevard, Joshua, TX 76058 | 2013-01-28 |
| 1598375446 | Nelida Alejandra Arevalo-braddick | Nurse Practitioner | 110 Scarlet Oaks Dr, Joshua, TX 76058-1858 | 2020-08-05 |
| 1508868449 | Joseph John Thomas | Chiropractor | 332 N Broadway St, Joshua, TX 76058-3047 | 2005-08-11 |
| 1558782979 | Joshua Spine and Health Center, PC | Chiropractor | 332 N Broadway St, Joshua, TX 76058-3047 | 2014-01-03 |
| 1366699688 | Cgc Health Solutions Inc | Chiropractor | 332 N Broadway St, Joshua, TX 76058-3047 | 2008-08-19 |
| 1508871377 | Raja Saade, Md Pa | Family Medicine | 201 N Broadway St, Joshua, TX 76058-3066 | 2006-07-30 |
| 1912315045 | North Texas Heart & Vascular Pllc | Internal Medicine | 201 N Broadway St, Joshua, TX 76058-3066 | 2014-08-01 |
| 1508879875 | Janice J Bradley | Nurse Practitioner | 201 N Broadway St, Joshua, TX 76058-3066 | 2006-08-15 |
| Find all providers in zip 76058 | ||||
| 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 |
|---|---|---|---|---|
| 1831705516 | Kobbun Tanased | Pharmacist | 1001 Joshua Station St, Joshua, TX 76058-3382 | 2020-09-18 |
| 1619515251 | Patricia Ann Stanley | Pharmacist | 1001 Joshua Station Blvd, Joshua, TX 76058-3382 | 2019-12-13 |
| 1659930022 | Mary Jane Pittman | Pharmacist | 3521 Sw Wilshire Blvd, Joshua, TX 76058-6195 | 2019-06-10 |
| 1528484011 | Gretchen Goedeken | Pharmacist | 7501 Apollo Dr, Joshua, TX 76058-4329 | 2014-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
| 1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
| 1033710876 | Vy Ngoc Tran | Pharmacist | 3726 Varna Ct, Missouri City, TX 77459-5510 | 2020-11-06 |
| 1912508748 | James E Branch | Pharmacist | 1565 Salado Trl, Weatherford, TX 76087-2162 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.