DR. NOLL L CAMPBELL PHARMD, CGP, NPI 1487650727 — INDIANAPOLIS (IN)

NPI 1487650727

14+ Years Experience Individual

DR. NOLL L CAMPBELL PHARMD, CGP

06/22/2005
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1487650727
NPI NUMBER

About DR. NOLL L CAMPBELL

DR. NOLL L CAMPBELL is a provider established in INDIANAPOLIS, IN. The NPI number of DR. NOLL L CAMPBELL is 1487650727 and was assigned on 06/22/2005. The practitioners primary taxonomy code is: 1835P1200X with license number: 26020917A IN .

Mailing address

  • City: INDIANAPOLIS
  • State: IN
  • Postal code: 462201883
  • Phone: 3176396671
  • Fax: 3176308772
  • Address: 1054 RESERVE WAY

Primary Practice Address

  • Region : INDIANAPOLIS, IN
  • NPI : 1487650727
  • Phone : 3176396671
  • Fax : 3176308772
  • Postalcode : 462022859
  • Address : 1001 W 10TH ST

Provider taxonomy - Pharmacist

  • Taxonomy code: 1835P1200X
  • License number: 26020917A
  • License state: IN

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

Contacts:

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  • DR. NOLL L CAMPBELL PHARMD, CGP
  • Address : 1001 W 10TH ST
  • Region : INDIANAPOLIS, IN
  • NPI : 1487650727
  • Phone : 3176396671
  • Fax : 3176308772
  • Postalcode : 462022859

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1001 W 10TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameINDIANAPOLIS
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameIN
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code462022859
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3176396671
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3176308772
The fax number associated with the location address of the provider being identified.
NPI1487650727
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 11835P1200X
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Provider Enumeration Date06/22/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. NOLL L CAMPBELL
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1054 RESERVE WAY
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameINDIANAPOLIS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameIN
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code462201883
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3176396671
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3176308772
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #11835P1200X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Pharmacist
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Provider License Number 126020917A
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1IN
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorX
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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