Active NPI
Mark Christopher Campbell, R. PH.
- Pharmacist
- Burbank, CA
National Provider Identifier
1912933722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42942
- Practice address
- 2321 W Olive Ave
Suite D
Burbank, CA 91506-2663 - Phone
- (818) 848-8112
- Fax
- (818) 848-8142
- NPI assigned
- Jun 23, 2006
- 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 | 42942 | CA | Primary |
Addresses
Primary practice location
2321 W Olive Ave
Suite D
Burbank, CA 91506-2663
Mailing address
2771 Chestnut Ave
Long Beach, CA 90806-2507
Phone (562) 989-8950
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42942 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912933722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2771 CHESTNUT AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062507",
"telephone_number": "562-989-8950",
"fax_number": "562-366-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 W OLIVE AVE",
"address_2": "SUITE D",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062663",
"telephone_number": "818-848-8112",
"fax_number": "818-848-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "MARK",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.