Active NPI
Ian Anthony Campbell, RPH
- Pharmacist
- West Palm Beach, FL
National Provider Identifier
1174846893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37858
- Practice address
- 1590 S Congress Ave
West Palm Beach, FL 33406-5957 - Phone
- (561) 966-1052
- Fax
- (561) 966-1057
- NPI assigned
- Mar 9, 2010
- 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 | PS37858 | FL | Primary |
Addresses
Primary practice location
1590 S Congress Ave
West Palm Beach, FL 33406-5957
Mailing address
14893 Citrus Grove Blvd
Loxahatchee, FL 33470-4358
Phone (561) 317-4776
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 |
|---|---|---|---|
| PS37858 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1174846893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14893 CITRUS GROVE BLVD",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704358",
"telephone_number": "561-317-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 S CONGRESS AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334065957",
"telephone_number": "561-966-1052",
"fax_number": "561-966-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "IAN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.