Active NPI
Kajol Ben Champaneri, PHARMD
- Pharmacist
- Philadelphia, MS
National Provider Identifier
1801567896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E100404
- Practice address
- 1005 W Beacon St
Philadelphia, MS 39350-3203 - Phone
- (601) 389-1119
- NPI assigned
- Sep 21, 2021
- Last updated
- Sep 21, 2021
- Sex
- Female
- 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 | E100404 | MS | Primary |
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
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 |
|---|---|---|---|
| E100404 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1005 W Beacon St
Philadelphia, MS 39350
Phone (601) 389-1119
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1801567896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W BEACON ST",
"city": "PHILADELPHIA",
"state": "MS",
"postal_code": "393503203",
"telephone_number": "601-389-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W BEACON ST",
"city": "PHILADELPHIA",
"state": "MS",
"postal_code": "393503203",
"telephone_number": "601-389-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPANERI",
"first_name": "KAJOL BEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E100404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.