Camp Drugs, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

054034394 Issued in IL

Legal business name

CAMP DRUGS, INC

Doing business as

camp drug store

Practice address

600 E Ferguson Ave
Wood River, IL 62095-2146

Phone

(618) 254-6223

Fax

(618) 254-1772

NPI assigned

Sep 21, 2006

Last updated

Sep 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin L Hendrick, RPHNPI 1033217427

Title

President

Phone

(618) 254-6223

Specialties & licenses 2

Addresses

Other names 1

• camp drug store Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin L Hendrick, RPH

  • Pharmacist
  • Wood River, IL
  • NPI 1033217427
  NPD (past) Authorized official
• Donald Edward Mayden

  • Pharmacist
  • Wood River, IL
  • NPI 1316047053
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1124127667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E FERGUSON AVE",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620952146",
            "telephone_number": "618-254-6223",
            "fax_number": "618-254-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E FERGUSON AVE",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620952146",
            "telephone_number": "618-254-6223",
            "fax_number": "618-254-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-254-6223",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "054034394",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "054034394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "camp drug store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bria of Woodriver LP
• Bob Burris, M.D.
• Laura Burton
• Keith N Byler, D. O.
• Caldieraro Family Dentistry, PC
• Abigail Marie Cantalupo
• Andrew G. Carr, D.C.
• Chestnut Health Systems Inc.
• Wak S Chia, M.D
• Michael Cleary, RPH

• Pharmacist in Wood River, IL
• Providers in Wood River, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.