Jacqueline Rose Campbell, PHARMD
NPI 1083967954ActiveIndividual· Pharmacist· Fort Defiance, AZ
Pharmacist (PHARMD) in Fort Defiance, Arizona, licensed in AZ, with an NPI issued in October 2012.
Overview
| NPI | 1083967954 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | Yes |
| NPI issued | Oct 17, 2012 |
| Last updated in NPPES | Oct 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | S019172 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Fort Defiance
- 1730629056
- 1538412465
- 1386620425
- 1558574285
- 1538462809
- 1053162156
- 1447381348
- 1942807664
- 1912038894
- 1689051922
- 1174954051
- 1427168228