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DR. RUSSELL B MANTOOTH PHARMD
NPI 1053400374
Pharmacist in Blountville, TN

Active since October 12, 2006
420 WOODWAY DR, BLOUNTVILLE, TN 37617(423) 323-3047(423) 542-1220 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Russell B Mantooth Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL B MANTOOTH PHARMD (NPI 1053400374) is an individual pharmacist in Blountville, Tennessee, licensed in Tennessee (8467) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1053400374
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. RUSSELL B MANTOOTHCredential: PHARMD
Location Address420 WOODWAY DRBlountville, TN 37617-5558
Mailing Address420 Woodway DrBlountville, TN 37617-5558 · (423) 323-3047 · Fax (423) 542-1220
Phone(423) 323-3047
Fax(423) 542-1220
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 25, 2007
✔ NPI 1053400374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TN · 8467
Definition
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.
420 WOODWAY DR, Blountville, TN 37617
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Mantooth's NPI number?

The NPI number for Russell Mantooth is 1053400374. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Russell Mantooth located?

Russell Mantooth practices at 420 Woodway Dr, Blountville, TN 37617. The listed phone number is (423) 323-3047.

What is Russell Mantooth's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Russell Mantooth was last updated on July 25, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.