Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245465467 Individual Practitioner Male Practitioner

Dr. Ryan Michael Russell , PharmD

Pharmacist • Bridgeton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Russell, PharmD is a registered healthcare professional specializing in Pharmacist in Bridgeton, MO. Practice services are available at 12266 DE PAUL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12266 De Paul Dr
Suite 105

Bridgeton, MO 630442514

Telephone 3143447300
Fax 3143447179
Associated Practice Facility / Clinic
🏢 Ardaman S Nanda Inc Facility NPI 1831282177

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bridgeton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
64 Specialists

Practicing in Bridgeton, MO (5469 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 MO 2006024046

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License IL 051287298

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
606172302 (MO)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1336592757

Doctor of Pharmacy (Pharm.D.)

NPI 1477379360

Doctor of Pharmacy (Pharm.D.)

NPI 1508301565

Registered Pharmacist, Master of Business Administration

NPI 1821562299

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2016

Registered at 12266 DE PAUL DR, SUITE 105, BRIDGETON, MO 630442514 (Tel: 3143447300)

📍
Updated Business Mailing Address December 21, 2016

Registered at 2911 RUSSELL BLVD, SAINT LOUIS, MO 631041536 (Tel: 3147713269)

👤
Provider Name / Credentials Updated December 21, 2016

Recorded as RYAN RUSSELL, PHARMD.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2016

Pharmacist (License #2006024046 in MO)

🟢
Initial NPI Registration & Enumeration May 18, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ryan Russell. Be the first to share your experience!

Sign in to leave a review for Dr. Ryan Russell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1245465467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2009
Last Update: December 21, 2016
Sole Proprietor: Yes

Mailing Address

2911 Russell Blvd

Saint Louis, MO 631041536

Phone: 3147713269

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.