Ian Tadashi Campbell, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

56159 Issued in CA

Practice address

80 Empire Dr
Lake Forest, CA 92630-2244

Phone

(888) 298-2208

NPI assigned

Mar 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Workscript Mail Order Pharmacy LLC

  • Community/Retail Pharmacy
  • Lake Forest, CA
  • NPI 1700955119
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356461669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8981 COLCHESTER AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835416",
            "telephone_number": "714-893-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EMPIRE DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302244",
            "telephone_number": "888-298-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "IAN",
        "middle_name": "TADASHI",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "56159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob M Caldwell, RPT
• California Emergency Physicians
• California Functional Internal Medicine Clinic LLC
• California Functional Internal Medicine Inc
• Camino Health Center
• Lisa Marie Campbell, PT
• Vanessa Campbell
• Lucia Campos
• Chantal Canas
• Brandi Cannon

• Pharmacist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.