Individual provider Active NPI

Kevin Campbell, PHARM.D.

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1376173567
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41004 Issued in TX
Practice address
6901 Preston Rd
Dallas, TX 75205-1186
Phone
(214) 521-9955
Fax
(214) 521-1649
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41004 TX Primary

Addresses

Primary practice location

6901 Preston Rd
Dallas, TX 75205-1186

Mailing address

6901 Preston Rd
Dallas, TX 75205-1186
Phone (214) 521-9955

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ComputerRX Direct

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

LicenseStateTypeSpecialty
41004TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Road Pharmacy, Inc. Current Accepting new patients

Locations

6901 Preston Rd
Dallas, TX 75205
Phone (214) 521-9955

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1376173567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051186",
            "telephone_number": "214-521-9955",
            "fax_number": "214-521-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051186",
            "telephone_number": "214-521-9955",
            "fax_number": "214-521-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KEVIN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "41004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ComputerRX",
            "affiliation": "N",
            "endpointDescription": "integrate CpmputerRX and NarcFacts",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6901 Preston Rd",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752051186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.