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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TRAE A RUSSELL, RPH

Active Sole Proprietor

MR. TRAE A RUSSELL, RPH is a Pharmacist healthcare provider located in CHICAGO, Illinois. NPI 1871874255 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CHICAGO, IL

Registration Details

NPI Number
1871874255
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2011 (14.938446727111 yrs)
Last Updated
Nov 8, 2025
Licenses
051306217 (IL)
03324175 (OH)
051.306217 (IL)
03324175 (OH)
Sole Proprietor
Yes

Practice Information

Address
5440 N CLARK ST
CHICAGO, IL, 606401210
Browse IL providers · Browse ZIP 60640
Phone
7735965022
Fax
7735063837
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Providers in CHICAGO, IL

Name Credential NPI
DR. MARI G LEAHY PHARMD 1700880077
LISA C MONDIE R.PH. 1952306151
NORMAN L HINES R.PH 1992700017
PATRICIA W SHAO PHARMD 1386649440
DR. TARANNUM F QURESHI PHARMD 1770589319
DENNIS BRYAN RPH MBA FAPHA 1568461119
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.