Active NPI
Candice Lee Campbell, PHARMD RPH
- Pharmacist
- Jackson, KY
National Provider Identifier
1487402186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022826
- Practice address
- 1484 Lakeside Dr
Jackson, KY 41339-6555 - Phone
- (606) 666-9950
- Fax
- (606) 666-9136
- NPI assigned
- May 8, 2024
- Last updated
- May 8, 2024
- Sex
- Female
- 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 | 022826 | KY | Primary |
Addresses
Primary practice location
1484 Lakeside Dr
Jackson, KY 41339-6555
Mailing address
PO Box 690
Beattyville, KY 41311-0690
Phone (606) 464-0151
Other practice location 1
202 Plummer St
Campton, KY 41301-9381
Phone (606) 668-7385
Other practice location 2
308 N Ky 7
Sandy Hook, KY 41171-9137
Phone (606) 738-9785
Other practice location 3
1219 W Main St
West Liberty, KY 41472-2161
Phone (606) 743-4808
Other practice location 4
2085 US Highway 460 E
Frenchburg, KY 40322-8384
Phone (606) 768-3725
Other practice location 5
1025 Grand Ave
Beattyville, KY 41311-9022
Phone (606) 464-2401
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022826 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1487402186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690",
"city": "BEATTYVILLE",
"state": "KY",
"postal_code": "413110690",
"telephone_number": "606-464-0151",
"fax_number": "606-464-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1484 LAKESIDE DR",
"city": "JACKSON",
"state": "KY",
"postal_code": "413396555",
"telephone_number": "606-666-9950",
"fax_number": "606-666-9136"
}
],
"practiceLocations": [
{
"address_1": "202 Plummer St",
"address_purpose": "LOCATION",
"city": "Campton",
"state": "KY",
"postal_code": "413019381",
"country_code": "US",
"telephone_number": "606-668-7385",
"fax_number": "606-668-7009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "308 N Ky 7",
"address_purpose": "LOCATION",
"city": "Sandy Hook",
"state": "KY",
"postal_code": "411719137",
"country_code": "US",
"telephone_number": "606-738-9785",
"fax_number": "859-317-2148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1219 W Main St",
"address_purpose": "LOCATION",
"city": "West Liberty",
"state": "KY",
"postal_code": "414722161",
"country_code": "US",
"telephone_number": "606-743-4808",
"fax_number": "606-743-4716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2085 US Highway 460 E",
"address_purpose": "LOCATION",
"city": "Frenchburg",
"state": "KY",
"postal_code": "403228384",
"country_code": "US",
"telephone_number": "606-768-3725",
"fax_number": "606-464-0152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Grand Ave",
"address_purpose": "LOCATION",
"city": "Beattyville",
"state": "KY",
"postal_code": "413119022",
"country_code": "US",
"telephone_number": "606-464-2401",
"fax_number": "606-464-3290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CANDICE",
"middle_name": "LEE",
"credential": "PHARMD RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "022826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.