IndividualActive
Randall Camp
NPI 1154935765 · Pharmacist · Ellisville, MS
Provider details
- NPI number
- 1154935765
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- R-06559 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
915 Hill St
Ellisville, MS 39437-2419
Phone: (601) 477-3573
Fax: (601) 477-3572
Street-level locationGet directions
Mailing address
110 Timberton Dr
Hattiesburg, MS 39401-9043
Registry dates
- Enumerated
- 2020-09-01
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.