Active NPI
Richard Antonio Campbell, RPH
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1710005152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS-32970
- Practice address
- 8775 Old Kings Rd S
Jacksonville, FL 32217-4827 - Phone
- (904) 636-5666
- Fax
- (904) 636-5001
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PS-32970 | FL | Primary |
Addresses
Primary practice location
8775 Old Kings Rd S
Jacksonville, FL 32217-4827
Mailing address
12663 Chapeltown Cir W
Jacksonville, FL 32225-5299
Phone (904) 221-8881
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 |
|---|---|---|---|
| PS-32970 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710005152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12663 CHAPELTOWN CIR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255299",
"telephone_number": "904-221-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8775 OLD KINGS RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174827",
"telephone_number": "904-636-5666",
"fax_number": "904-636-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "RICHARD",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS-32970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.