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

Dr. Justin William Russell

Individual provider Pharmacist · NPI 1114630456

Dr. Justin William Russell is a Pharmacist in Loudon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023

Practice location Address checks out

2111 Highway 72 N
Loudon, TN 37774-5719
Phone: (865) 458-9938
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 46554 (TN)

Record details

NPI number1114630456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 2, 2023
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

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