Kajol Ben Champaneri, PHARMD – Pharmacist

Key facts

NPI: 1801567896
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: E100404 (MS)
Practice address: 1005 W Beacon St
Philadelphia, MS 39350-3203
Phone: (601) 389-1119
NPI assigned: Sep 21, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Walgreen Co. Pharmacy · Philadelphia, MS · NPI 1689702029

NPD
Walgreen Co Pharmacy · Longview, TX · NPI 1629956545

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
E100404	MS	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Walgreen Co.		Current since Mar 6, 2022	Accepting new patients
Walgreen Co		Past since Sep 28, 2021	Accepting new patients

Locations

1005 W Beacon St
Philadelphia, MS 39350
Phone (601) 389-1119

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	E100404	MS	Yes

Addresses

Primary practice location

1005 W Beacon St
Philadelphia, MS 39350-3203

Mailing address

1005 W Beacon St
Philadelphia, MS 39350-3203
Phone (601) 389-1119

Other providers in Philadelphia, MS

All providers in Philadelphia, MS · Pharmacist in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.