Organization Active NPI

Campbell Pharmacy

  • Pharmacy
  • Adamsville, AL
National Provider Identifier
1861597726
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
103164 Issued in AL
Legal business name
CAMPBELL PHARMACY
Practice address
3925 Veterans Memorial Dr
Adamsville, AL 35005
Phone
(205) 674-3566
Fax
(205) 674-1950
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Terry Joe Fox, PHARMACIST
Title
Manager Pharmacist
Phone
(205) 674-3566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 103164 AL Primary

Addresses

Primary practice location

3925 Veterans Memorial Dr
Adamsville, AL 35005

Mailing address

PO Box 382
3925 Veterans Memorial Dr
Adamsville, AL 35005
Phone (205) 674-3566

Other identifiers 1

IdentifierTypeStateIssuer
100001734MedicaidAL

National Provider Directory

National Provider Directory

Locations

3925 Veterans Memorial Dr
Adamsville, AL 35005
Phone (205) 674-3566

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1861597726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "address_2": "3925 VETERANS MEMORIAL DR",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "35005",
            "telephone_number": "205-674-3566",
            "fax_number": "205-674-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 VETERANS MEMORIAL DR",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "35005",
            "telephone_number": "205-674-3566",
            "fax_number": "205-674-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "MANAGER PHARMACIST",
        "authorized_official_telephone_number": "205-674-3566",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "103164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001734",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adamsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.