Organization Active NPI

Camp Drugs, LLC

  • Pharmacist
  • Henagar, AL
National Provider Identifier
1083786305
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13788 Issued in AL
Legal business name
CAMP DRUGS, LLC
Practice address
18294 Broad St
Henagar, AL 35978-4374
Phone
(256) 657-5187
Fax
(256) 657-2232
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Kevin CampNPI 1063584381
Title
Pharmacist
Phone
(256) 657-5187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 13788 AL Primary

Addresses

Primary practice location

18294 Broad St
Henagar, AL 35978-4374

Mailing address

18294 Broad St
Henagar, AL 35978-4374
Phone (256) 657-5187

Other identifiers 1

IdentifierTypeStateIssuer
100003743MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111031000122 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8123221876 Practice locations: Henagar, AL

National Provider Directory

National Provider Directory

Locations

18294 Broad St
Henagar, AL 35978
Phone (256) 657-5187

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083786305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18294 BROAD ST",
            "city": "HENAGAR",
            "state": "AL",
            "postal_code": "359784374",
            "telephone_number": "256-657-5187",
            "fax_number": "256-657-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18294 BROAD ST",
            "city": "HENAGAR",
            "state": "AL",
            "postal_code": "359784374",
            "telephone_number": "256-657-5187",
            "fax_number": "256-657-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "256-657-5187"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003743",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henagar, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.