HOLLY RUSSELL
NPI 1548860158
Pharmacist in Desloge, MO

Active since November 01, 2020
407 N STATE ST, DESLOGE, MO 63601(573) 431-8563 Get Directions Write a Review

NPPES record last updated: November 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly Russell NPPES

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

HOLLY RUSSELL (NPI 1548860158) is an individual pharmacist in Desloge, Missouri, licensed in Missouri (2014026385) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1548860158
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameHOLLY RUSSELL
Location Address407 N STATE STDesloge, MO 63601-3053
Mailing AddressPo Box 324Farmington, MO 63640-0324
Sole ProprietorYes
Enumeration DateNovember 1, 2020
NPPES CertifiedNovember 1, 2020
NPI 1548860158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2014026385
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.
407 N STATE ST, Desloge, MO 63601

Other Providers at the Same Location NPPES 7

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

Optometrist
407 N STATE ST
DESLOGE, MO 63601
Pharmacy (Community/Retail Pharmacy)
407 N STATE ST
DESLOGE, MO 63601
Optometrist
407 N STATE ST
DESLOGE, MO 63601
Pharmacist
407 N STATE ST
DESLOGE, MO 63601
Pharmacist
407 N STATE ST
DESLOGE, MO 63601
Pharmacist
407 N STATE ST
DESLOGE, MO 63601
Eyewear Supplier
407 N STATE ST
DESLOGE, MO 63601

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 Holly Russell's NPI number?

The NPI number for Holly Russell is 1548860158. It was assigned to this individual provider in the NPPES registry on November 1, 2020.

Where is Holly Russell located?

Holly Russell practices at 407 N State St, Desloge, MO 63601. The listed phone number is (573) 431-8563.

What is Holly 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 Holly Russell was last updated on November 1, 2020. 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.