Active NPI
Jean Carlisle, PHARMD
- Pharmacist
- West Columbia, SC
National Provider Identifier
1093059487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13575
- Practice address
- 2908 Emanuel Church Rd
West Columbia, SC 29170-3010 - Phone
- (803) 996-3625
- NPI assigned
- Nov 26, 2012
- Last updated
- Nov 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13575 | SC | Primary |
Addresses
Primary practice location
2908 Emanuel Church Rd
West Columbia, SC 29170-3010
Mailing address
1312 Kennerly Rd
Irmo, SC 29063
Phone (803) 727-6665
Other names 1
- Melie Carlisle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13575 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1093059487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 KENNERLY RD",
"city": "IRMO",
"state": "SC",
"postal_code": "29063",
"telephone_number": "803-727-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 EMANUEL CHURCH RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291703010",
"telephone_number": "803-996-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLISLE",
"first_name": "JEAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELIE",
"last_name": "CARLISLE",
"credential": "PHARMD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in West Columbia, SC
- Carelinc Medical Equipment & Supply Co LLC
- Denise Renee Carey, CRNA
- Caring Oasis Homecare
- James A Carlen IV, CRNA
- Charles Brett Carlin, MD
- Carlos Smith DMD PA
- Ann Kenick Carlson, PT
- Catherine Anne Gogela Carlson, M.D.
- Paul Howard Carlson, D.M.D.
- Carolina Ambulance Service of the Midlands, LLC (Carolina Ambulance Service)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.