Individual provider Active NPI

Alicia Beth Campanini, PHARMD

  • Pharmacist
  • Lake Lure, NC
National Provider Identifier
1083742811
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18633 Issued in NC
Practice address
276 NC Highway 9
Lake Lure, NC 28746
Phone
(828) 625-0748
NPI assigned
Mar 1, 2007
Last updated
Jul 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18633 NC Primary

Addresses

Primary practice location

276 NC Highway 9
Lake Lure, NC 28746

Mailing address

276 NC Highway 9
Lake Lure, NC 28746
Phone (828) 625-0748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
18633NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingles Markets Inc Past Accepting new patients
Ingles Markets Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1083742811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 NC HIGHWAY 9",
            "city": "LAKE LURE",
            "state": "NC",
            "postal_code": "28746",
            "telephone_number": "828-625-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NC HIGHWAY 9",
            "city": "LAKE LURE",
            "state": "NC",
            "postal_code": "28746",
            "telephone_number": "828-625-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANINI",
        "first_name": "ALICIA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Lure, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.