Active NPIIndividual providerSole proprietor

Dr. Russel J Roberts, PHARMD, FCCM, BCCC

Pharmacist, Critical Care in Boston, Massachusetts

NPI Number1861494312
Practice location
55 Fruit St, Grb-005, Boston, MA 02114-2621
Fax
—
Last updated
August 4, 2016

Russel Joseph Roberts is a Pharmacist, Critical Care based in Boston, MA. Russel Joseph Roberts practices in Boston, MA and has the professional credentials of PHARMD, FCCM, BCCC. The NPI Number for Russel Joseph Roberts is 1861494312 and holds a License No. 2003000294 (MO). The current practice location address for Russel Joseph Roberts is 55 Fruit St, Grb-005, Boston, MA 02114-2621 and can be reached out via phone at 314-346-7877.

Provider Profile Details

NPI Number
1861494312
Provider Name
Russel Joseph Roberts
Credential
PHARMD, FCCM, BCCC
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Grb-005, Boston, MA 02114-2621
Phone Number
314-346-7877
Primary Taxonomy
Pharmacist, Critical Care · 1835C0205X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2005
Last Update Date
August 4, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Grb-005
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
314-346-7877
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
64 Durham RD
Dedham, MA 02026-5328
City
Dedham
State
MA
Zip
02026-5328
Phone Number
314-346-7877

License Information

License Number (1)
2003000294
License State (1)
MO
Taxonomy (1)
Pharmacist, Pharmacotherapy · 1835P1200X
License Number (2)
PH27202
License State (2)
MA
Taxonomy (2)
Pharmacist, Critical Care · 1835C0205X · Primary
License Number (3)
PH27202
License State (3)
MA
License Number (4)
PH27202
License State (4)
MA
Taxonomy (4)
Pharmacist, Pharmacotherapy · 1835P1200X
License Number (5)
2003000294
License State (5)
MO
Taxonomy (5)
Pharmacist, Critical Care · 1835C0205X
License Number (6)
2003000294
License State (6)
MO

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Russel J Roberts, PHARMD, FCCM, BCCC?

The NPI number of Dr. Russel J Roberts, PHARMD, FCCM, BCCC is 1861494312. It was assigned on August 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Russel J Roberts, PHARMD, FCCM, BCCC?

Dr. Russel J Roberts, PHARMD, FCCM, BCCC is registered under the primary taxonomy Pharmacist, Critical Care (code 1835C0205X), licensed in MO under license number 2003000294.

Where does Dr. Russel J Roberts, PHARMD, FCCM, BCCC practice?

The practice location is 55 Fruit St, Grb-005, Boston, MA 02114-2621. The office can be reached at 314-346-7877 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861494312 directly on the NPPES registry website.

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