What is Russell Mantooth's NPI number?

Russell Mantooth's National Provider Identifier (NPI) is 1053400374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Russell Mantooth's specialty?

Russell Mantooth is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Russell Mantooth located?

Russell Mantooth's practice location on file with NPPES is 420 Woodway Dr, Blountville, TN 37617-5558.

What is Russell Mantooth's phone number?

The practice phone number listed in the NPPES registry for Russell Mantooth is (423) 323-3047.

Is Russell Mantooth's NPI active?

Yes — Russell Mantooth's NPI (1053400374) is active in the NPPES registry as of the last update on 2007-07-25.

IndividualActive

Russell Mantooth, PHARMD

NPI 1053400374 · Pharmacist · Blountville, TN

Russell Mantooth, PHARMD is a Pharmacist provider in Blountville, TN (NPI 1053400374).

Provider details

NPI number: 1053400374
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 8467 (TN)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 8467 (TN)
Pharmacy Service Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

420 Woodway Dr

Blountville, TN 37617-5558

Phone: (423) 323-3047

Fax: (423) 542-1220

Street-level locationGet directions

More TN providers

Mailing address