Active NPI
Jason Campbell, PHARM.D.
- Pharmacist
- White Hall, IL
National Provider Identifier
1760767743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.293178
- Practice address
- 116 N Main St
White Hall, IL 62092-1054 - Phone
- (217) 374-2222
- Fax
- (217) 374-2220
- NPI assigned
- Oct 20, 2011
- Last updated
- Mar 22, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 051.293178 | IL | Primary |
Addresses
Primary practice location
116 N Main St
White Hall, IL 62092-1054
Mailing address
116 N Main St
White Hall, IL 62092-1054
Phone (217) 374-2222
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.293178 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1760767743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N MAIN ST",
"city": "WHITE HALL",
"state": "IL",
"postal_code": "620921054",
"telephone_number": "217-374-2222",
"fax_number": "217-374-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N MAIN ST",
"city": "WHITE HALL",
"state": "IL",
"postal_code": "620921054",
"telephone_number": "217-374-2222",
"fax_number": "217-374-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.293178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Hall, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.