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Active NPI 1285719799 Individual Practitioner Male Practitioner

Kenneth Royal Russell , DPH

Pharmacist • Scott Afb, IL

Professional Overview & Biography Verified Profile Summary

Kenneth Russell, DPH is a registered healthcare professional specializing in Pharmacist in Scott Afb, IL. Practice services are available at 310 W LOSEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 W Losey St

Scott Afb, IL 622255250

Telephone 6182567345
Associated Practice Facility / Clinic
🏢 375th Medgrp-Scott Facility NPI 1851373161

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Scott Afb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Scott Afb, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OK 10399

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1063795177

Doctor of Pharmacy (Pharm.D.)

Brett Perlberg

Pharmacist

NPI 1366636227
NPI 1407838956

Master of Science, Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location April 19, 2018

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182567345)

NPI Profile Active June 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2011

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9372579028)

📍
Updated Business Mailing Address June 02, 2011

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9372579028)

👤
Provider Name / Credentials Updated June 02, 2011

Recorded as KENNETH RUSSELL, DPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2011

Pharmacist (License #10399 in OK)

🟢
Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285719799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: April 19, 2018
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Phone: 9372579028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.