Carl Antolick III, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19794 Issued in NC

Practice address

5111 Wake Forest Rd
Durham, NC 27703-3704

Phone

(919) 957-4512

Fax

(919) 957-4538

NPI assigned

Sep 14, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Southern Pines, NC
  • NPI 1538999107
  NPD (past)
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Durham, NC
  • NPI 1871740555
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1083922819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 WAKE FOREST RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033704",
            "telephone_number": "919-957-4512",
            "fax_number": "919-957-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 WAKE FOREST RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033704",
            "telephone_number": "919-957-4512",
            "fax_number": "919-957-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOLICK",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "19794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coyonna Lakia Anthony
• Devon Cordell Anthony
• Kashawnna Anthony
• Kelly K Anthony, PHD
• Antinori Psychology, PLLC
• Keri Ann Antolick, PHARMD.
• Nives Antolovic-Stanfel, M.D.
• Sandra Anton, PA-C
• Daija Antone-Hatcher
• Christopher Mark Antonelli, PT, DPT

• Pharmacist in Durham, NC
• Providers in Durham, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.