Active NPI
Carissa L Abernathy, PHARMD
- Pharmacist
- Conway Springs, KS
National Provider Identifier
1124478698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-15230
- Practice address
- 100 E Spring Ave
Conway Springs, KS 67031-3101 - Phone
- (620) 456-2220
- Fax
- (620) 456-2231
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 1-15230 | KS | Primary |
Addresses
Primary practice location
100 E Spring Ave
Conway Springs, KS 67031-3101
Mailing address
PO Box 5
Conway Springs, KS 67031-0005
Phone (620) 456-2220
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 |
|---|---|---|---|
| 1-15230 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman Pharmacy LLC | Past | Accepting new patients | |
| Freeman 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.
-
- Long Term Care Pharmacy
- Conway Springs, KS
- NPI 1659139863
-
- Community/Retail Pharmacy
- Conway Springs, KS
- NPI 1982975637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1124478698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "CONWAY SPRINGS",
"state": "KS",
"postal_code": "670310005",
"telephone_number": "620-456-2220",
"fax_number": "620-456-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SPRING AVE",
"city": "CONWAY SPRINGS",
"state": "KS",
"postal_code": "670313101",
"telephone_number": "620-456-2220",
"fax_number": "620-456-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERNATHY",
"first_name": "CARISSA",
"middle_name": "L",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway Springs, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.