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Deactivated NPI 1366725350 Deactivated / Inactive NPI Male Practitioner

Russell David Meridith , RPH

Pharmacist • O Fallon, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Russell Meridith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2011
NPI Deactivation Date November 28, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Russell Meridith, RPH was a registered Pharmacist practicing in O Fallon, MO. Throughout an active medical career spanning 13 years, Russell Meridith provided care at the practice location at 1490 MEXICO LOOP RD E until profile deactivation on 2024-11-28.

Practice Location & Contact Primary Location

Practice Address

1490 Mexico Loop Rd E

O Fallon, MO 633666015

Telephone 6369781602
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1922013176

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in O Fallon, MO

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

Practicing in O Fallon, 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 029741

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

7 Associated Practitioners
NPI 1003198318

Doctor of Pharmacy (Pharm.D.)

NPI 1043823891

Doctor of Pharmacy (Pharm.D.)

NPI 1487930061

Registered Pharmacist

Aditya Thaker

Pharmacist

NPI 1598157810
NPI 1801179569

Registered Pharmacist

Anish George

Pharmacist

NPI 1841574639

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 28, 2024

Record deactivated on November 28, 2024

NPI Profile Active September 26, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 26, 2011

Registered at 1490 MEXICO LOOP RD E, O FALLON, MO 633666015 (Tel: 6369781602)

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Updated Business Mailing Address September 26, 2011

Registered at 899 HIGHWAY DD, DEFIANCE, MO 633412007 (Tel: 6367983020)

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Provider Name / Credentials Updated September 26, 2011

Recorded as RUSSELL MERIDITH, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2011

Pharmacist (License #029741 in MO)

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Initial NPI Registration & Enumeration September 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366725350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2011
Last Update: September 26, 2011
Deactivation Date: November 28, 2024

Mailing Address

899 Highway Dd

Defiance, MO 633412007

Phone: 6367983020

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.