Carly Campbell

Primary specialty

PharmacistTaxonomy code 183500000X

License

03326843 Issued in OH

Practice address

207 W High St
Mount Vernon, OH 43050-2427

Phone

(740) 392-0911

NPI assigned

Jan 8, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maple Hill, Inc.

  • Community/Retail Pharmacy
  • Centerburg, OH
  • NPI 1033117510
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1033707682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HIGH ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502427",
            "telephone_number": "740-392-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HIGH ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502427",
            "telephone_number": "740-392-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4584 Columbus Rd",
            "address_purpose": "LOCATION",
            "city": "Centerburg",
            "state": "OH",
            "postal_code": "430119401",
            "country_code": "US",
            "telephone_number": "740-625-7626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03326843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fostershealtmart@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "207 W High St",
            "city": "Mount Vernon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430502427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Ryan Byron
• Melissa Sue Calbert
• Emily Callahan, M.S., CCC-SLP
• Charlsey Callender, M.S., CCC-SLP
• Rachel Marie Cammuse
• Krystal Cannon, SWA, QMHS
• Kristen Cantrell, MA, CCC-SLP
• Capassionatecare Home Health LLC
• Carpenter Dental Group, Inc.
• Dianne C Carpenter, PHARMD

• Pharmacist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.