Tiffany A Carlisle, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR5208 Issued in ME

Practice address

401 N Main St
Brewer, ME 04412-1802

Phone

(207) 275-3300

Fax

(207) 275-3310

NPI assigned

Sep 25, 2016

Last updated

Sep 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M Drug LLC

  dba Northern Light Pharmacy Westgate

  • Community/Retail Pharmacy
  • Bangor, ME
  • NPI 1427153600
  NPD (past)

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474761600000",
    "number": "1285183889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121802",
            "telephone_number": "207-275-3300",
            "fax_number": "207-275-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121802",
            "telephone_number": "207-275-3300",
            "fax_number": "207-275-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-25",
        "last_updated": "2016-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PR5208",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Cabral, DMD
• Daniel Lee Callaway, M.D.
• Alicia Camire, PT
• Regan Card, P.T.
• Angel Gaye Carey, COTA/L
• Rosehannah Nicole Carmichael, OD
• Melanie Carney
• Teri J Carr, PT
• Christopher Lloyd Carter
• Bonnie Case, FNP

• Pharmacist in Brewer, ME
• Providers in Brewer, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.