Gus Campos, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0012972 Issued in CT

Practice address

57 South St
Bristol, CT 06010-6524

Phone

(860) 583-1006

NPI assigned

Sep 14, 2016

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RW Group Inc

  • Long Term Care Pharmacy
  • Bristol, CT
  • NPI 1932402336
  NPD Authorized official
• RW Group, Inc

  • Community/Retail Pharmacy
  • Bristol, CT
  • NPI 1831161918
  NPD Authorized official

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1639627003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HOMESTEAD CIR",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063712604",
            "telephone_number": "860-961-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SOUTH ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106524",
            "telephone_number": "860-583-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "GUS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0012972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Byers, LCSW
• Carla Elaine Bystricky, M.D.
• Jonathan Nolan Callahan, HIS
• Gisselle Lee Camacho
• Stephen Peter Caminiti, MD
• Jennifer Carbone
• Cardiology Assoc of Bristol PC
• Ruthliann Carmona, LMSW
• Kristin Carpino
• Suzie Carrasquillo

• Pharmacist in Bristol, CT
• Providers in Bristol, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.