Active NPI
Craig Lynn Camp, RPH
- Pharmacist
- Southfield, MI
National Provider Identifier
1942293865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302410821
- Practice address
- 27762 Franklin Rd Ste 3B
Southfield, MI 48034-2300 - Phone
- (248) 223-8734
- Fax
- (248) 223-9737
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302410821 | MI | Primary |
Addresses
Primary practice location
27762 Franklin Rd Ste 3B
Southfield, MI 48034-2300
Mailing address
PO Box 2533
Southfield, MI 48037-2533
Phone (248) 223-9734
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 |
|---|---|---|---|
| 5302410821 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Home Pharmacy Inc | Pharmacist | Current | Accepting new patients |
Locations
27762 Franklin Rd
Ste 3B
Southfield, MI 48034
Phone (248) 223-8734
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1942293865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2533",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480372533",
"telephone_number": "248-223-9734",
"fax_number": "248-223-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27762 FRANKLIN RD STE 3B",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480342300",
"telephone_number": "248-223-8734",
"fax_number": "248-223-9737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMP",
"first_name": "CRAIG",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302410821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.