RAYMOND GLEN CAMPBELL (NPI# 1548861206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548861206 |
| Entity Type | Individual |
| Full Name | RAYMOND GLEN CAMPBELL |
| Practice Address |
32 Tygart Mall Loop Fairmont WV 26554-2187 |
| Mailing Address |
17 Troy Ln Fairmont WV 26554-1463 |
| Practice Telephone | 3043669117 |
| Practice Fax Number | 3043661583 |
| Mailing Telephone | 3048162036 |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2020-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0005216 | WV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750628087 | Raymond M Campbell Sr. | Licensed Practical Nurse | 667 S Firestone Blvd, Akron, OH 44301-3123 | 2013-01-07 |
| 1962650689 | Raymond Campbell Iv | Dietitian, Registered | 525 Turtle Creek Dr, Greenville, TX 75402-4330 | 2008-09-06 |
| 1841340312 | Raymond Mckinley Campbell IIi | Clinical Neuropsychologist | 1511 1st St, Suite 1308, Detroit, MI 48226-1351 | 2007-01-10 |
| 1063052025 | Raymond Marshall Campbell | Registered Nurse | 1400 Locust St, Pittsburgh, PA 15219-5114 | 2020-01-07 |
| 1770715971 | Raymond G Campbell | Specialist | 12371 Highway 90, Suite D, Luling, LA 70070-2371 | 2009-08-20 |
| Street Address |
32 TYGART MALL LOOP |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-2187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992722029 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 32 Tygart Mall Loop, Fairmont, WV 26554-2187 | 2006-07-16 |
| 1972103158 | Tammi D Moore | Pharmacist | 32 Tygart Mall Loop, Fairmont, WV 26554-2187 | 2020-10-28 |
| 1235739798 | Mark Benedetti | Pharmacist | 32 Tygart Mall Loop, Fairmont, WV 26554-2187 | 2020-10-26 |
| 1275918153 | Travis Skinner | Pharmacist | 32 Tygart Mall Loop, Fairmont, WV 26554-2187 | 2015-07-21 |
| 1598868713 | Barbara A Sharps | Optometrist | 32 Tygart Mall Loop, Fairmont, WV 26554-2187 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261962 | James Allan Boyers | Pharmacist | 25 Tresara Dr, Fairmont, WV 26554-8837 | 2020-09-28 |
| 1730442716 | Amber A Morris | Pharmacist | 12 Franklin Farms Dr, Fairmont, WV 26554-8726 | 2012-06-24 |
| 1417231788 | Jacob Peter Reuter | Pharmacist | 400 S State St Ste 50, Fairmont, MN 56031-2872 | 2011-10-05 |
| 1801183017 | Adam H Hartman | Pharmacist | 51 Southland Dr Ste 2100, White Hall Pharmacy, Fairmont, WV 26554-2244 | 2011-07-08 |
| 1750401873 | Mark D Demary | Pharmacist | 7325 Scottsdale Rd, Fairmont, WV 26554-7807 | 2007-03-30 |
| 1609909316 | Robin L Stackpole | Pharmacist | 627 Fairmont Ave, Fairmont, WV 26554-5103 | 2007-03-13 |
| 1558344713 | Dani S Dolin | Pharmacist | 177 Middletown Rd Ste 2, Fairmont, WV 26554-8254 | 2005-11-22 |
| 1396737169 | Robert Dale Hickman | Pharmacist | Rr 4 Box 1e, Fairmont, WV 26554-9328 | 2005-08-18 |
| 1972103158 | Tammi D Moore | Pharmacist | 32 Tygart Mall Loop, Fairmont, WV 26554-2187 | 2020-10-28 |
| 1235739798 | Mark Benedetti | Pharmacist | 32 Tygart Mall Loop, Fairmont, WV 26554-2187 | 2020-10-26 |
| Find all providers in FAIRMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.