Active NPI
William Otto Campbell Jr., RPH
- Pharmacist
- Payson, AZ
National Provider Identifier
1427475391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S006237
- Practice address
- 401 E St Hwy 260
Payson, AZ 85541-4932 - Phone
- (928) 472-8242
- NPI assigned
- Mar 27, 2014
- Last updated
- Jan 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S006237 | AZ | Primary |
Addresses
Primary practice location
401 E St Hwy 260
Payson, AZ 85541-4932
Mailing address
140 W Buckskin Rd
Payson, AZ 85541
Phone (602) 722-7074
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S006237 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
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": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1427475391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W BUCKSKIN RD",
"city": "PAYSON",
"state": "AZ",
"postal_code": "85541",
"telephone_number": "602-722-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E ST HWY 260",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855414932",
"telephone_number": "928-472-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "WILLIAM",
"middle_name": "OTTO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-27",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S006237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.