Shepardson Willcox Campbell, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0009480 Issued in WV

Practice address

15063 Maccorkle Ave., SE
Cabin Creek, WV 25035

Phone

(304) 595-4900

Fax

(304) 595-4652

NPI assigned

Mar 10, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• WV CHS Pharmacy Services, LLC

  • Long Term Care Pharmacy
  • Cabin Creek, WV
  • NPI 1932573425
  NPD (past)

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1730487059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "CABIN CREEK",
            "state": "WV",
            "postal_code": "250350280",
            "telephone_number": "304-786-2853",
            "fax_number": "304-595-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15063 MACCORKLE AVE., SE",
            "city": "CABIN CREEK",
            "state": "WV",
            "postal_code": "25035",
            "telephone_number": "304-595-4900",
            "fax_number": "304-595-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6921 Lake Harbour Dr",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122077",
            "country_code": "US",
            "telephone_number": "804-639-6580 x3",
            "fax_number": "804-639-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHEPARDSON",
        "middle_name": "WILLCOX",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-10",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205975",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0009480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Victoria Calvin, PHARMD
• Chelyan Dental, PLLC
• Amanda Davis
• Ava Davis
• Mindy Foster
• Brandi Dawn Haynes-Gunnoe, PRSS

• Pharmacist in Cabin Creek, WV
• Providers in Cabin Creek, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.