Individual provider Active NPI

Laura Ivey Campbell, PHARMD

  • Pharmacist
  • Bulls Gap, TN
National Provider Identifier
1396748323
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10205 Issued in TN
Practice address
272 Highway 11 E
Bulls Gap, TN 37711
Phone
(423) 235-6263
Fax
(423) 235-4792
NPI assigned
May 23, 2005
Last updated
Nov 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10205 TN Primary

Addresses

Primary practice location

272 Highway 11 E
Bulls Gap, TN 37711

Mailing address

411 Derbyshire CT
Morristown, TN 37814-1084
Phone (423) 587-9344

Other practice location 1

2181 W Andrew Johnson Hwy
Morristown, TN 37814-3203
Phone (423) 587-9792

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
10205TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
BLC Drug, Inc Current Accepting new patients
K VA T Food Stores Inc Past Accepting new patients

Locations

272 Highway 11 E
Bulls Gap, TN 37711
Phone (423) 235-6263

Organizations & group practices 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1396748323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 DERBYSHIRE CT",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141084",
            "telephone_number": "423-587-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HIGHWAY 11 E",
            "city": "BULLS GAP",
            "state": "TN",
            "postal_code": "37711",
            "telephone_number": "423-235-6263",
            "fax_number": "423-235-4792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2181 W Andrew Johnson Hwy",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378143203",
            "country_code": "US",
            "telephone_number": "423-587-9792",
            "fax_number": "423-587-6082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LAURA",
        "middle_name": "IVEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "10205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulls Gap, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.