Active NPI
Carlyle B McGuire, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Ottawa, KS
National Provider Identifier
1255962924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 1-109898
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-109898 | KS | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 2019029102 | MO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients | |
| Cosentino Group Inc | Past | 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.
-
dba Price Chopper Pharmacy #405
- Community/Retail Pharmacy
- Ottawa, KS
- NPI 1508211020
-
dba King Soopers Pharmacy #153
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
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.