KIM RUSSELL PHARMD – NPI #1932617305
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Health Care Provider Taxonomy Code for Pharmacist

KIM RUSSELL is a pharmacist located in FOUNTAIN VALLEY, CA. NPPES has assigned the NPI number 1932617305 to KIM RUSSELL on January 18, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 6 years ago on Apr 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIM RUSSELL below.

NPI Profile for
KIM RUSSELL

NPI Number
1932617305
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KIM RUSSELL
Credentials
PHARMD
Primary location
18785 BROOKHURST ST STE 201
FOUNTAIN VALLEY, CA 92708-7300
Phone: (714) 916-0881 Fax:
1 Other location(s):
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone: (951) 486-5157
Fax: (951) 486-4495
Mailing address
6591 WESTPARK PL APT C
WESTMINSTER, CA 92683-3071
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Apr 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)		 CA 74335

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.