Active NPI
Campbell Drug Incorporated
- Community/Retail Pharmacy
- Stillwater, OK
National Provider Identifier
1568758555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 85582
- Legal business name
- CAMPBELL DRUG INCORPORATED
- Practice address
- 610 E McElroy Rd
Stillwater, OK 74075-7415 - Phone
- (405) 707-3005
- Fax
- (405) 707-3033
- NPI assigned
- Jun 28, 2011
- Last updated
- Jun 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maury Campbell
- Title
- Pharmacist
- Phone
- (405) 707-3005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 85582 | OK | Primary |
Addresses
Primary practice location
610 E McElroy Rd
Stillwater, OK 74075-7415
Mailing address
610 E McElroy Rd
Stillwater, OK 74075-7415
Phone (405) 707-3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200038620A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
610 E McElroy Rd
Stillwater, OK 74075
Phone (405) 707-3005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Stillwater, OK
- NPI 1053374223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309219200000",
"number": "1568758555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E MCELROY RD",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740757415",
"telephone_number": "405-707-3005",
"fax_number": "405-707-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E MCELROY RD",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740757415",
"telephone_number": "405-707-3005",
"fax_number": "405-707-3033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMPBELL DRUG INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "MAURY",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "405-707-3005",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "85582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200038620A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.