Individual provider Active NPI

Candida Register Stilley, RPH

  • Pharmacist
  • New Bern, NC
National Provider Identifier
1285796227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15466 Issued in NC
Practice address
2117 S Glenburnie Rd
Suite 1
New Bern, NC 28562-2239
Phone
(252) 636-1711
Fax
(252) 636-2615
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15466 NC Primary

Addresses

Primary practice location

2117 S Glenburnie Rd
Suite 1
New Bern, NC 28562-2239

Mailing address

6300 NC Highway 55 W
Cove City, NC 28523-9448
Phone (252) 636-1711

Other identifiers 1

IdentifierTypeStateIssuer
15466OtherNCNC BOARD OF PHARMACY LIC.

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
15466NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Home Medical, Inc. Past Accepting new patients
Carolina Home Medical, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285796227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 NC HIGHWAY 55 W",
            "city": "COVE CITY",
            "state": "NC",
            "postal_code": "285239448",
            "telephone_number": "252-636-1711",
            "fax_number": "252-636-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 S GLENBURNIE RD",
            "address_2": "SUITE 1",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622239",
            "telephone_number": "252-636-1711",
            "fax_number": "252-636-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLEY",
        "first_name": "CANDIDA",
        "middle_name": "REGISTER",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "15466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY LIC.",
            "identifier": "15466",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.