Jo Ann Campbell, PHARMD
Individual provider Active NPI Pharmacist · Pulaski, TN
NPI 1366046062 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1366046062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 32289 (TN)
- Practice address
- 709 W College St
Pulaski, TN 38478-3614 - Phone
- (931) 363-1132
- Fax
- (931) 363-7165
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32289 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee CVS Pharmacy, L.L.C. | Past |
Accepting new patients | |
| Tennessee CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32289 | TN | Yes |
Addresses
Primary practice location
709 W College St
Pulaski, TN 38478-3614
Mailing address
709 W College St
Pulaski, TN 38478-3614
Phone (931) 363-1132
Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.