DR. RYAN MICHAEL RUSSELL PHARMD.
NPI 1245465467
Pharmacist in Bridgeton, MO

Active since May 18, 2009
12266 DE PAUL DR, SUITE 105, BRIDGETON, MO 63044(314) 344-7300(314) 344-7179 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Michael Russell Pharmd. NPPES

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

DR. RYAN MICHAEL RUSSELL PHARMD. (NPI 1245465467) is an individual pharmacist in Bridgeton, Missouri, licensed in Missouri (2006024046) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1245465467
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. RYAN MICHAEL RUSSELLCredential: PHARMD.
Location Address12266 DE PAUL DR, SUITE 105Bridgeton, MO 63044-2514
Mailing Address2911 Russell BlvdSaint Louis, MO 63104-1536 · (314) 771-3269 · Fax (314) 344-6179
Fax(314) 344-7179
Sole ProprietorYes
Enumeration DateMay 18, 2009
Last NPPES UpdateDecember 21, 2016
NPI 1245465467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MO · 2006024046 Licensed in IL · 051287298
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.
12266 DE PAUL DR, Bridgeton, MO 63044

Other Identifiers 1

Medicaid606172302MO

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Cardiovascular Disease)
12266 DE PAUL DR, 205
BRIDGETON, MO 63044
Pharmacist
12266 DE PAUL DR
BRIDGETON, MO 63044
Dentist
12266 DE PAUL DR, SUITE 325
BRIDGETON, MO 63044
Durable Medical Equipment & Medical Supplies (Customized Equipment)
12266 DE PAUL DR, #325
BRIDGETON, MO 63044
Internal Medicine (Cardiovascular Disease)
12266 DE PAUL DR, 205
BRIDGETON, MO 63044

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 Ryan Russell's NPI number?

The NPI number for Ryan Russell is 1245465467. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Ryan Russell located?

Ryan Russell practices at 12266 De Paul Dr Suite 105, Bridgeton, MO 63044. The listed phone number is (314) 344-7300.

What is Ryan Russell'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 Ryan Russell was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.