Marcus William Campbell, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

45002 Issued in FL

Practice address

TGMG Sun City Center
16521 South US Hwy 301
Wimauma, FL 33598

Phone

(813) 660-6770

Fax

(813) 844-1979

NPI assigned

Apr 8, 2011

Last updated

Oct 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Clinical Pharmacology Services

  dba Conexus Health

  • Medical Specialty Clinic/Center
  • Temple Terrace, FL
  • NPI 1861781338
  NPD (past)

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1629368949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 147TH CT NE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125588",
            "telephone_number": "217-778-9802",
            "fax_number": "813-844-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TGMG SUN CITY CENTER",
            "address_2": "16521 SOUTH US HWY 301",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "33598",
            "telephone_number": "813-660-6770",
            "fax_number": "813-844-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARCUS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "45002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Donna-Shea Bogalis
• Davisharn Junior Buckshon, MD
• Daniel Button, MS, IMFT
• Emma Jean Cahoon, RN
• Joseph Callahan, LPN (MILITARY MEDIC)
• Diane Marie Cantwell, LMHC
• Cap Revival Care LLC
• Ebony Bonee Chandler
• Chris Dewayne Chatum
• Arthur B. Chausmer, MD, PHD

• Pharmacotherapy Pharmacist in Wimauma, FL
• Providers in Wimauma, FL by specialty
• Pharmacotherapy Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.