OrganizationActive
Larry J & Bonnie P Russell
NPI 1710977442 · Community/Retail Pharmacy · Elizabethtown, KY
Larry J & Bonnie P Russell is a Community/Retail Pharmacy organization in Elizabethtown, KY (NPI 1710977442).
Provider details
- NPI number
- 1710977442
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Larry Russell, Owner(270) 769-3717
- License
- P01397 (KY)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
910 N Dixie Ave Ste 105
Elizabethtown, KY 42701-2519
Phone: (270) 769-3717
Fax: (270) 769-2887
Approximate (ZIP-level) locationGet directions
Mailing address
910 N Dixie Ave Ste 105
Elizabethtown, KY 42701-2519
Other names (DBA / former)
- Doing business as
- The Medicine Shoppe
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2023-03-07
Frequently asked questions
- What is Larry J & Bonnie P Russell's NPI number?
- Larry J & Bonnie P Russell's National Provider Identifier (NPI) is 1710977442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Larry J & Bonnie P Russell?
- Larry J & Bonnie P Russell is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Larry J & Bonnie P Russell located?
- Larry J & Bonnie P Russell's practice location on file with NPPES is 910 N Dixie Ave Ste 105, Elizabethtown, KY 42701-2519.
- What is Larry J & Bonnie P Russell's phone number?
- The practice phone number listed in the NPPES registry for Larry J & Bonnie P Russell is (270) 769-3717.
- Who is the authorized official for Larry J & Bonnie P Russell?
- The authorized official listed on Larry J & Bonnie P Russell's NPPES record is Larry Russell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Larry J & Bonnie P Russell's NPI active?
- Yes — Larry J & Bonnie P Russell's NPI (1710977442) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.