LISA L CAMPBELL (NPI# 1639628688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639628688 |
| Entity Type | Individual |
| Full Name | LISA L CAMPBELL |
| Credential | PHARM D |
| Practice Address |
289 Ireland Ave Fort Knox KY 40121-5111 |
| Practice Telephone | 5026249120 |
| Mailing Telephone | 5026249120 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP438456 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508334624 | Lisa Michele Campbell | Nurse Practitioner | 228 W Broad St, Mineola, TX 75773-2006 | 2018-11-06 |
| 1942784814 | Lisa Marie Campbell | Nurse Practitioner | 1210 Laguna Dr, Huron, OH 44839-2607 | 2018-09-18 |
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1306394689 | Lisa Campbell | Social Worker | 4309 Lowe Rd, Louisville, KY 40220-1524 | 2016-09-15 |
| 1174920219 | Lisa Campbell | Physical Therapist | 40 Eben St, Milford, MA 01757-1186 | 2014-12-03 |
| 1821363912 | Lisa Marie Campbell | Speech-Language Pathologist | 3800 Parchment Cir, Richmond, VA 23233-7034 | 2012-03-21 |
| 1508043894 | Lisa M Campbell | Perfusionist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-01-29 |
| 1154501831 | Lisa Campbell | Licensed Practical Nurse | 2131 Grand Ave, Bronx, NY 10453-3209 | 2007-11-09 |
| 1386857795 | Lisa Campbell | Optometrist | 964 Airport Rd Sw Ste 12, Huntsville, AL 35802-1393 | 2007-05-08 |
| 1023142080 | Lisa A Campbell | Physical Therapy Assistant | 299 E State Road 250, Brownstown, IN 47220-9583 | 2007-03-14 |
| Street Address |
289 IRELAND AVE |
| City | FORT KNOX |
| State | KY |
| Zip Code | 40121-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263775 | Linda Jean Anderson | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2005-05-23 |
| 1770067183 | Marsha Ann Paul | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2018-09-20 |
| 1548789803 | Vickie Davidson | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-09-18 |
| 1245755560 | Alysha Aldridge | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1033634365 | Andraya Clark | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1134675689 | Wendy Lee | Dental Hygienist | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-08-25 |
| 1730531104 | Derek A Albright | Dental Assistant | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-07-08 |
| 1104287234 | Laurel Alexander Darhali | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-03-17 |
| 1164889176 | Andres Perez | Emergency Medicine | 289 Ireland Ave, Ireland Army Community Hospital Emergency Deparment, Fort Knox, KY 40121-5111 | 2016-01-21 |
| 1407212269 | Peter Mott | Registered Nurse | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141543 | Noah M Christopher | Dentist | Bldg 1022, Rm 226, 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2018-07-23 |
| 1043736812 | Amanda Gani | Pharmacist | 6289 Clairborne Street, Margetis Bldg, Fort Knox, KY 40121 | 2017-08-14 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1154873602 | Karen Patrice Kimble | Dental Assistant | 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2016-11-01 |
| 1144634577 | James Henry Martineau | Dentist | 968 1st Infantry Division Road, Jordan Dental Clinic (bldg 2724, Fort Knox, KY 40121 | 2014-06-13 |
| 1073751806 | Lori L Hill | Speech-Language Pathologist | 1411 B 4th Ave, Fort Knox, KY 40121 | 2009-02-02 |
| 1225233547 | Ireland Army Community Hospital | Clinic/Center | 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 | 2007-06-18 |
| 1619090032 | Marcus Franklin | Pharmacist | Ireland Loop Bldg 851, Pharmacy Service, Ft. Knox, KY 40121 | 2007-04-09 |
| 1558404699 | Sonia Mills | Psychologist | 433 192nd Armored Tank Bn Rd, Building 853, Fort Knox, KY 40121 | 2007-02-15 |
| 1932250487 | Morgan Ann Brissette | Nurse Practitioner | 4286 Oakland Avenue, Fort Knox, KY 40121 | 2007-01-12 |
| Find all providers in zip 40121 | ||||
| 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 |
|---|---|---|---|---|
| 1548789803 | Vickie Davidson | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-09-18 |
| 1245755560 | Alysha Aldridge | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1033634365 | Andraya Clark | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1649645821 | Adrienne Trudell | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2015-12-14 |
| 1215358072 | Amanda Hartlage | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2013-12-21 |
| 1588911176 | Diane Marie Kennedy | Pharmacist | 851 Ireland Ave, Pharmacy Department, Fort Knox, KY 40121-2722 | 2012-08-14 |
| 1558616714 | Mark Jason White | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2012-07-13 |
| 1396008298 | James B Hobbs Jr. | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2012-06-17 |
| 1528340270 | Margaret Sopalski | Pharmacist | 289 Ireland Ave, Pharmacy Services, Fort Knox, KY 40121-5111 | 2011-09-19 |
| 1326328139 | Joanne R Logsdon | Pharmacist | 289 Ireland Ave, Bldg 851, Room Nbg-30, Fort Knox, KY 40121-5111 | 2011-08-24 |
| Find all providers in FORT KNOX | ||||
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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.