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

Individual provider Pharmacist · NPI 1245465467

Dr. Ryan Michael Russell, PHARMD is a Pharmacist in Bridgeton, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2009
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

12266 De Paul Dr Ste 105
Bridgeton, MO 63044-2514
Phone: (314) 344-7300
Fax: (314) 344-7179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2006024046 (MO)
Pharmacist Taxonomy 183500000X · Licence 051287298 (IL)

Record details

NPI number1245465467
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedMay 18, 2009
Last updated in NPPESDecember 21, 2016
Mailing address2911 Russell Blvd, Saint Louis, MO 63104-1536

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