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
- 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 and National Provider Directory roles.
-
- Pharmacy
- Anderson, SC
- NPI 1114020971
-
- Pharmacy
- West Columbia, SC
- NPI 1609979384
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
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.