MR. TRAE A RUSSELL RPH
NPI 1871874255
Pharmacist in Chicago, IL

Active since August 30, 2011
5440 N CLARK ST, CHICAGO, IL 60640(773) 596-5022(773) 506-3837 Get Directions Write a Review

NPPES record last updated: November 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2025, Dec 19, 2022 (2 updates tracked since 2022).

About Mr. Trae A Russell Rph NPPES

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

MR. TRAE A RUSSELL RPH (NPI 1871874255) is an individual pharmacist in Chicago, Illinois, licensed in Ohio (03324175) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1871874255
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. TRAE A RUSSELLCredential: RPH
Location Address5440 N CLARK STChicago, IL 60640-1210
Mailing Address5440 N Clark StChicago, IL 60640-1210 · (773) 596-5022 · Fax (773) 506-3837
Fax(773) 506-3837
Sole ProprietorYes
Enumeration DateAugust 30, 2011
Last NPPES UpdateNovember 8, 20252 updates tracked since enumeration
NPPES CertifiedNovember 8, 2025
NPI 1871874255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in OH · 03324175 Licensed in IL · 051.306217
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.
Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License 051306217 (IL), 03324175 (OH)
5440 N CLARK ST, Chicago, IL 60640

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.

Pharmacist
5440 N CLARK ST
CHICAGO, IL 60640
Pharmacist
5440 N CLARK ST, WALGREENS PHARMACY
CHICAGO, IL 60640
Eyewear Supplier
5440 N CLARK ST
CHICAGO, IL 60640
Pharmacist
5440 N CLARK ST
CHICAGO, IL 60640
Pharmacist
5440 N CLARK ST
CHICAGO, IL 60640
Pharmacy
5440 N CLARK ST
CHICAGO, IL 60640
Pharmacist
5440 N CLARK ST
CHICAGO, IL 60640

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 Trae Russell's NPI number?

The NPI number for Trae Russell is 1871874255. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Where is Trae Russell located?

Trae Russell practices at 5440 N Clark St, Chicago, IL 60640. The listed phone number is (773) 596-5022.

What is Trae 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 Trae Russell was last updated on November 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.