Active NPI
Donald M Campbell, RPH
- Pharmacist
- Peekskill, NY
National Provider Identifier
1093970584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31525
- Practice address
- 1100 Main St
Peekskill, NY 10566 - Phone
- (914) 739-8800
- NPI assigned
- Jul 23, 2008
- Last updated
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31525 | NY | Primary |
| Pharmacist | 183500000X | 9731 | CT |
Addresses
Primary practice location
1100 Main St
Peekskill, NY 10566
Mailing address
1427 Inspiration Rd
Mohegan Lake, NY 10547-1737
Phone (914) 528-0223
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9731 | CT | MD | Clinical Social Worker |
| 31525 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1093970584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 INSPIRATION RD",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471737",
"telephone_number": "914-528-0223",
"fax_number": "203-770-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MAIN ST",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "10566",
"telephone_number": "914-739-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DONALD",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "31525",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "9731",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.