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Deactivated NPI 1124302997 Deactivated / Inactive NPI Male Practitioner

Gregory W Russie , RPH

Pharmacist • Rolla, 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, Gregory Russie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2011
NPI Deactivation Date October 22, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Gregory Russie, RPH was a registered Pharmacist practicing in Rolla, MO. Throughout an active medical career spanning 7 years, Gregory Russie provided care at the practice location at 120 S BISHOP AVE until profile deactivation on 2018-10-22.

Practice Location & Contact Primary Location

Practice Address

120 S Bishop Ave

Rolla, MO 654014215

Telephone 5734263338
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1235372749

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Rolla, MO

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

Practicing in Rolla, 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 2006008796

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

6 Associated Practitioners
NPI 1518687284

Doctor of Pharmacy (Pharm.D.)

NPI 1538540182

Doctor of Pharmacy (Pharm.D.)

Brenna Stermer

Pharmacist

NPI 1760096101
Jill Dalton

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1801572649
NPI 1811271612

Registered Pharmacist

NPI 1891308516

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 October 22, 2018

Record deactivated on October 22, 2018

NPI Profile Active September 28, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 28, 2011

Registered at 120 S BISHOP AVE, ROLLA, MO 654014215 (Tel: 5734263338)

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Updated Business Mailing Address September 28, 2011

Registered at 120 S BISHOP AVE, ROLLA, MO 654014215 (Tel: 5734263338)

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Provider Name / Credentials Updated September 28, 2011

Recorded as GREGORY RUSSIE, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2011

Pharmacist (License #2006008796 in MO)

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Initial NPI Registration & Enumeration September 28, 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: 1124302997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2011
Last Update: September 28, 2011
Deactivation Date: October 22, 2018

Mailing Address

120 S Bishop Ave

Rolla, MO 654014215

Phone: 5734263338

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.