Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RUSSELLS PHARMACY UPSTATE HOME RESPIRATORY EQUIPMENT INC
Active
Organization
RUSSELLS PHARMACY UPSTATE HOME RESPIRATORY EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ALEXANDER LAWRENCE (PRESIDENT)
(518) 654-2485
Entity
Organization
Contact information
Practice address
106 MAPLE ST, CORINTH, NY 12822-1026
(518) 654-2485
(518) 654-7555
Mailing address
106 MAPLE ST, CORINTH, NY 12822-1026
(518) 654-2485
(518) 654-7555
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01240995
—
NY
05
—
02570643
—
NY
01
—
10019380
CDPHP
NY
Enumeration date
07/11/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up