RUSSELL W CHISOLM (NPI# 1295288744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295288744 |
| Entity Type | Individual |
| Full Name | RUSSELL W CHISOLM |
| Credential | PHARMD |
| Practice Address |
1030 River Oaks Dr Flowood MS 39232-9553 |
| Practice Telephone | 6019362300 |
| Mailing Telephone | 6019362300 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-14402 | MS | Pharmacy Service Providers |
| Street Address |
1030 RIVER OAKS DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205802667 | Matthew T Gaines | Internal Medicine | 1030 River Oaks Dr, Flowood, MS 39232 | 2006-02-27 |
| 1467072264 | River Oaks Hospital LLC | Clinical Medical Laboratory | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2020-04-21 |
| 1346872827 | Emily Callaway Faulkner | Occupational Therapist | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2020-02-12 |
| 1689210866 | Cierra Moore | Registered Nurse | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2019-11-21 |
| 1740842426 | Hunter Vaughn | Nurse Practitioner | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2019-07-02 |
| 1851832828 | Sarah Dubard | Nurse Practitioner | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2017-03-10 |
| 1487024675 | Mary Upton | Physical Therapist | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2015-09-30 |
| 1780054908 | Kimberly Summer Brewer | Occupational Therapist | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2015-09-30 |
| 1588032981 | Jane Mcgeown | Nurse Anesthetist, Certified Registered | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2015-09-02 |
| 1962899344 | Bradley Scott Mccay | Emergency Medicine | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2015-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| 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 |
|---|---|---|---|---|
| 1720626559 | Paul Frederick Krantz | Pharmacist | 143 Albertson's Drive, Flowood, MS 39232-6615 | 2019-12-11 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1124565874 | Brian Carter | Pharmacist | 20 River Bend Pl, Flowood, MS 39232-9737 | 2017-01-19 |
| 1649727819 | Carrie Landers | Pharmacist | 5201 Lakeland Blvd Apt 142, Flowood, MS 39232-8919 | 2016-09-06 |
| 1558741926 | James Edward Smith Jr. | Pharmacist | 3010 Lakeland Cv Ste I-2, Flowood, MS 39232-9720 | 2015-06-01 |
| 1427459569 | Lauren Day | Pharmacist | 10 River Bend Pl, Flowood, MS 39232-9737 | 2014-09-08 |
| 1235485798 | Billy Everett | Pharmacist | 885 Liberty Rd, Suite 500, Flowood, MS 39232-9000 | 2012-08-01 |
| 1184994592 | Christopher Gregory Mclaurin | Pharmacist | 9 River Bend Pl, Suite 120, Flowood, MS 39232-9529 | 2012-01-03 |
| 1528337227 | Mary Kobold | Pharmacist | 1003 Maplewood Cv, Flowood, MS 39232-8779 | 2011-12-26 |
| 1245535525 | Ronnie Renaldo Owens | Pharmacist | 1227 Pin Oak Dr Apt E7, Flowood, MS 39232-9797 | 2011-01-19 |
| Find all providers in FLOWOOD | ||||
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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.