Active NPI
Kristen Campbell, PHARMD
- Pharmacist
- Omaha, NE
National Provider Identifier
1275879975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202211369
- Practice address
- 4225 S 57TH St
Omaha, NE 68117-1363 - Phone
- (615) 516-6464
- NPI assigned
- Dec 27, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 0202211369 | VA | Primary |
| Pharmacist | 183500000X | 14471 | NE |
Addresses
Primary practice location
4225 S 57TH St
Omaha, NE 68117-1363
Mailing address
10112 Virginia St
La Vista, NE 68128-3231
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 |
|---|---|---|---|
| 14471 | NE | MD | Mental Health Counselor |
| 0202211369 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1275879975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10112 VIRGINIA ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681283231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 S 57TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681171363",
"telephone_number": "615-516-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KRISTEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-27",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202211369",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14471",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.