Active NPI
Camp Drugs, LLC
- Pharmacist
- Henagar, AL
National Provider Identifier
1083786305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13788
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Camp
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100003743 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111031000122 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 8123221876 | Practice locations: Henagar, AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Henagar, AL
- NPI 1063584381
-
- Pharmacist
- Henafar, AL
- NPI 1740874759
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.