MR. ALEXANDER RUSSO PHARMD
NPI 1205429925
Pharmacist in Kings Park, NY

Active since February 12, 2021
64 INDIAN HEAD RD, KINGS PARK, NY 11754(631) 663-3800 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Alexander Russo Pharmd NPPES

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

MR. ALEXANDER RUSSO PHARMD (NPI 1205429925) is an individual pharmacist in Kings Park, New York, licensed in New York (067695) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1205429925
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. ALEXANDER RUSSOCredential: PHARMD
Location Address64 INDIAN HEAD RDKings Park, NY 11754-3703
Mailing Address18 Grand StSmithtown, NY 11787-1207 · (631) 807-2666
Sole ProprietorNo
Enumeration DateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
NPI 1205429925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 067695
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.
64 INDIAN HEAD RD, Kings Park, NY 11754

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
64 INDIAN HEAD RD
KINGS PARK, NY 11754
Pharmacist
64 INDIAN HEAD RD
KINGS PARK, NY 11754
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
64 INDIAN HEAD RD
KINGS PARK, NY 11754
Pharmacy (Community/Retail Pharmacy)
64 INDIAN HEAD RD
KINGS PARK, NY 11754

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 Alexander Russo's NPI number?

The NPI number for Alexander Russo is 1205429925. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Where is Alexander Russo located?

Alexander Russo practices at 64 Indian Head Rd, Kings Park, NY 11754. The listed phone number is (631) 663-3800.

What is Alexander Russo'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 Alexander Russo was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.