Campus Drug Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

RP-0000892-CS Issued in OR

Legal business name

CAMPUS DRUG INC

Practice address

2218 Shallock Ave
Klamath Falls, OR 97601-4290

Phone

(541) 883-1147

Fax

(541) 882-7308

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sonja M Bryant, RPH

Title

Owner

Phone

(541) 883-1147

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306051917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 SHALLOCK AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014290",
            "telephone_number": "541-883-1147",
            "fax_number": "541-882-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 SHALLOCK AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014290",
            "telephone_number": "541-883-1147",
            "fax_number": "541-882-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-883-1147",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OR",
            "license": "RP-0000892-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158660",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280974",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Eugene Calvo, PSYD
• Lucaina Camarillo
• Allen James Camidge
• Brad Camidge
• Stefano Campana
• Campus Drug, Inc.
• Britt Cody Canales Jr.
• Jennifer L Cannon Noles, BS
• Holly J Card, RPH
• Patricia Card

• Parenteral & Enteral Nutrition Supplies (DME) in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.