Active NPI
Peter Campanella, PHARMD
- Pharmacist
- Louisville, CO
National Provider Identifier
1144741372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA0017322
- Practice address
- 325 W S Boulder Rd Ste 5
Louisville, CO 80027-1130 - Phone
- (720) 458-4887
- Fax
- (720) 890-6144
- NPI assigned
- Jun 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA0017322 | CO | Primary |
Addresses
Primary practice location
325 W S Boulder Rd Ste 5
Louisville, CO 80027-1130
Mailing address
11972 Blakeford St
Parker, CO 80134-7762
Phone (720) 252-5749
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
| License | State | Type | Specialty |
|---|---|---|---|
| PHA0017322 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chinook Healthcare in | Past | Accepting new patients | |
| Chinook Healthcare 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 and National Provider Directory roles.
-
- Dialysis Equipment & Supplies (DME)
- Louisville, CO
- NPI 1952686164
-
- Community/Retail Pharmacy
- Lafayette, CO
- NPI 1093120305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498608000000",
"number": "1144741372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11972 BLAKEFORD ST",
"city": "PARKER",
"state": "CO",
"postal_code": "801347762",
"telephone_number": "720-252-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W S BOULDER RD STE 5",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271130",
"telephone_number": "720-458-4887",
"fax_number": "720-890-6144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPANELLA",
"first_name": "PETER",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2017-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA0017322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.