MR. KENNETH ROYAL RUSSELL JR. DPH
NPI 1285719799
Pharmacist in Scott Afb, IL

Active since October 25, 2006
310 W LOSEY ST, SCOTT AFB, IL 62225(618) 256-7345 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Royal Russell Jr. Dph NPPES

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

MR. KENNETH ROYAL RUSSELL JR. DPH (NPI 1285719799) is an individual pharmacist in Scott Afb, Illinois, licensed in Oklahoma (10399) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1285719799
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KENNETH ROYAL RUSSELL JR.Credential: DPH
Location Address310 W LOSEY STScott Afb, IL 62225-5250
Mailing Address4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529 · (937) 257-9028
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateApril 19, 2018
NPI 1285719799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OK · 10399
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.
310 W LOSEY ST, Scott Afb, IL 62225

Other Providers at the Same Location NPPES 20

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

Dentist (Oral and Maxillofacial Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
Physical Therapist
310 W LOSEY ST
SCOTT AFB, IL 62225
Pharmacist
310 W LOSEY ST
SCOTT AFB, IL 62225
Family Medicine
310 W LOSEY ST
SCOTT AFB, IL 62225
Registered Nurse
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
Dentist (Prosthodontics)
310 W LOSEY ST
SCOTT AFB, IL 62225
Obstetrics & Gynecology
310 W LOSEY ST
SCOTT AFB, IL 62225
Social Worker (Clinical)
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225

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 Kenneth Russell's NPI number?

The NPI number for Kenneth Russell is 1285719799. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Kenneth Russell located?

Kenneth Russell practices at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-7345.

What is Kenneth 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 Kenneth Russell was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.