Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jessica Russell, PHARMACIST

Individual provider Pharmacist · NPI 1235966193

Dr. Jessica Russell, PHARMACIST is a Pharmacist in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

2630 Lpga Blvd
Daytona Beach, FL 32124-1008
Phone: (386) 281-6780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS67629 (FL)

Record details

NPI number1235966193
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMACIST
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

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