Dr. Ryan Michael Russell
Pharmacist
12266 De Paul Dr, Suite 105, Bridgeton
Missouri, 63044-2514
314-344-7300 314-344-7179
Dr. Ryan Michael Russell is a pharmacist in Bridgeton, Missouri. Patients can reach him at 12266 De Paul Dr, Suite 105, Bridgeton or contact him on 314-344-7300. Active license number of Dr. Ryan Michael Russell is 2006024046 for Pharmacist in Missouri.
Dr. Ryan Michael Russell is 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.
Complete Profile:
Dr. Ryan Michael Russell speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Ryan Michael Russell |
| Specialization: | Pharmacist |
| Credentials: | PHARMD. |
| Gender: | Male |
| Location: | 12266 De Paul Dr, Suite 105, Bridgeton,
Missouri, 63044-2514 |
| Phone: | 314-344-7300 |
| Fax: | 314-344-7179 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details of Dr. Ryan Michael Russell are as mentioned below.
| NPI Number: | 1245465467 |
| NPI Enumeration Date: | 18 May, 2009 |
| NPI Last Update On: | 21 Dec, 2016 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ryan Michael Russell are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 2006024046 | Missouri | Primary | |
| Pharmacist | 051287298 | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ryan Michael Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 606172302 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2911 Russell Blvd,
Saint Louis, Missouri |
| Zip: | 63104-1536 |
| Phone Number: | 314-771-3269 |
| Fax Number: | 314-344-6179 |
Patients can reach Dr. Ryan Michael Russell at
12266 De Paul Dr, Suite 105, Bridgeton, Missouri or can
call on phone at 314-344-7300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.