NPIMap

Organization Active NPI

Carlie C's of Cedar Creek

Doing business as Carlie C's IGA

  • Community/Retail Pharmacy
  • Fayetteville, NC
National Provider Identifier
1245263052
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09346 Issued in NC
Legal business name
CARLIE C'S OF CEDAR CREEK
Doing business as
Carlie C's IGA
Practice address
600 Cedar Creek Rd
Fayetteville, NC 28312-6504
Phone
(910) 483-8972
Fax
(910) 484-0607
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Mrs. Carol Gaudelli, B.S.NPI 1386789014
Title
Pharmacy Manager
Phone
(910) 483-8972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 09346 NC Primary

Addresses

Primary practice location

600 Cedar Creek Rd
Fayetteville, NC 28312-6504

Mailing address

600 Cedar Creek Rd
Fayetteville, NC 28312-6504
Phone (910) 483-8972

Other identifiers 1

IdentifierTypeStateIssuer
0266369MedicaidNC

Other names 1

  • Carlie C's IGA Doing business as

National Provider Directory

National Provider Directory

Locations

600 Cedar Creek Rd
Fayetteville, NC 28312
Phone (910) 483-8972

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1245263052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CEDAR CREEK RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283126504",
            "telephone_number": "910-483-8972",
            "fax_number": "910-484-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CEDAR CREEK RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283126504",
            "telephone_number": "910-483-8972",
            "fax_number": "910-484-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLIE C'S OF CEDAR CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "GAUDELLI",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-483-8972",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266369",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlie C's IGA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.