Individual provider Active NPI

Carlyle B McGuire, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Ottawa, KS
National Provider Identifier
1255962924
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
1-109898 Issued in KS
Practice address
120 E 19TH St
Ottawa, KS 66067-4300
Phone
(785) 242-4649
Fax
(785) 242-2401
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 2019029102 MO
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 1-109898 KS Primary

Addresses

Primary practice location

120 E 19TH St
Ottawa, KS 66067-4300

Mailing address

705 Arkansas St Apt C
Lawrence, KS 66044-2350
Phone (914) 484-3848

Other practice location 1

2350 Planet Ave
Salina, KS 67401-7386
Phone (785) 823-9515

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

LicenseStateTypeSpecialty
1-109898KSMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
2019029102MOMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC PastSince Feb 1, 2020 Accepting new patients
Dillon Companies LLC PastSince Feb 1, 2020 Accepting new patients
Cosentino Group Inc PastSince May 29, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1255962924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ARKANSAS ST APT C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442350",
            "telephone_number": "914-484-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 19TH ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660674300",
            "telephone_number": "785-242-4649",
            "fax_number": "785-242-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Planet Ave",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674017386",
            "country_code": "US",
            "telephone_number": "785-823-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "CARLYLE",
        "middle_name": "B",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "2019029102",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KS",
            "license": "1-109898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.