Active NPI
Joshua Kamphaugh, PHARM.D.
- Pharmacist
- Fargo, ND
National Provider Identifier
1821398082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4807
- Practice address
- 2522 Broadway N
Fargo, ND 58102-1405 - Phone
- (701) 235-5543
- Fax
- (701) 235-5544
- NPI assigned
- Oct 21, 2010
- Last updated
- Oct 21, 2010
- 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 | 4807 | ND | Primary |
Addresses
Primary practice location
2522 Broadway N
Fargo, ND 58102-1405
Mailing address
2522 Broadway N
Fargo, ND 58102-1405
Phone (701) 235-5543
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 |
|---|---|---|---|
| 4807 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Drug Co | Current | Accepting new patients |
Locations
2522 Broadway N
Fargo, ND 58102
Phone (701) 235-5543
Organizations & group practices 1
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": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1821398082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581021405",
"telephone_number": "701-235-5543",
"fax_number": "701-235-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581021405",
"telephone_number": "701-235-5543",
"fax_number": "701-235-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMPHAUGH",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.