ROBERT RUSSO (NPI# 1912274978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912274978 |
| Entity Type | Individual |
| Full Name | ROBERT RUSSO |
| Credential | RPH |
| Practice Address |
1809 E Allegheny Ave Philadelphia PA 19134-3119 |
| Mailing Address |
310 Lombard St Philadelphia PA 19147-1502 |
| Practice Telephone | 2154260956 |
| Mailing Telephone | 6468720136 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP441670 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467547703 | Robert Joseph Russo | Dentist | 1929 Lincoln Hwy East, Suite 150, Lancaster, PA 17602 | 2006-10-03 |
| 1831282904 | Robert Edward Russo | Technician/Technologist | 18 Railroad Street, Essex Junction, VT 05453 | 2006-10-02 |
| 1114924693 | Robert D. Russo | Radiology | 75 Kings Highway Cutoff, Suite 1a, Fairfield, CT 06824-5340 | 2005-06-30 |
| 1245480045 | Robert Russo Jr. | Counselor | 311 Doric Ave, Cranston, RI 02910-2903 | 2008-09-29 |
| 1740293661 | Robert Russo | Internal Medicine | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-08-14 |
| 1891720066 | Robert Anthony Russo | Dentist | 321 Washington St, Gloucester, MA 01930-4837 | 2006-07-12 |
| 1215976493 | Robert Russo Jr. | Physical Therapist | 4266 Acme Rd, Frankfort, NY 13340-3504 | 2006-06-05 |
| 1104871656 | Robert James Russo | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-05-23 |
| 1881643245 | Robert A Russo | Podiatrist | 1255 Portland Ave, Rochester, NY 14621-2728 | 2006-05-10 |
| 1730144064 | Robert J. Russo | Internal Medicine | 9850 Genesee Ave, Suite 350, La Jolla, CA 92037-1224 | 2006-04-19 |
| Street Address |
1809 E ALLEGHENY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053326942 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1809 E Allegheny Ave, Philadelphia, PA 19134-3119 | 2006-07-29 |
| 1518518141 | Tri M. Tang | Pharmacist | 1809 E Allegheny Ave, Philadelphia, PA 19134-3119 | 2019-09-25 |
| 1306493580 | Myint Myint San | Pharmacist | 1809 E Allegheny Ave, Philadelphia, PA 19134-3119 | 2019-08-22 |
| 1952810921 | An Shao | Pharmacist | 1809 E Allegheny Ave, Philadelphia, PA 19134-3119 | 2017-09-21 |
| 1023527173 | Jessica M Mendez | Pharmacist | 1809 E Allegheny Ave, Philadelphia, PA 19134-3119 | 2017-09-20 |
| 1598018376 | Evan Andrew White | Pharmacist | 1809 E Allegheny Ave, Philadelphia, PA 19134-3119 | 2012-10-18 |
| 1437436615 | Evaristo Recinto | Pharmacist | 1809 E Allegheny Ave, Philadelphia, PA 19134-3119 | 2011-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| 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 |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1639797574 | Nikia Moody | Pharmacist | 3300 S Broad St, Philadelphia, PA 19145-5802 | 2020-07-07 |
| 1730706136 | William Galson | Pharmacist | 2732 E Venango St, Philadelphia, PA 19134-6121 | 2020-07-01 |
| 1801413489 | Kim-anh Tran | Pharmacist | 633 W Rittenhouse St Apt A204, Philadelphia, PA 19144-4327 | 2020-06-30 |
| 1376160374 | Amjad Azzawe | Pharmacist | 1335 Mount Vernon St, Philadelphia, PA 19123-3211 | 2020-06-25 |
| 1861017345 | Alice Hong Chandler | Pharmacist | 1405 S 10th St # At, Philadelphia, PA 19147-5608 | 2020-06-10 |
| 1710509518 | Nicholas Jospeh Carroll | Pharmacist | 21302 Delaire Landing Rd, Philadelphia, PA 19114-5205 | 2020-05-14 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1871129809 | Adina Klingman | Pharmacist | 5800 Woodland Ave, Philadelphia, PA 19143-5918 | 2020-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
Please comment or provide details below to improve the information on ROBERT 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.