Organization Active NPI

Carlisle Pharmacy LLC

  • Community/Retail Pharmacy
  • Carlisle, OH
National Provider Identifier
1306249503
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022446000 Issued in OH
Legal business name
CARLISLE PHARMACY LLC
Practice address
771 Central Ave
Carlisle, OH 45005-3318
Phone
(513) 267-3297
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Gary Reed, PHARM D
Title
Owner
Phone
(513) 267-3297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022446000 OH Primary

Addresses

Primary practice location

771 Central Ave
Carlisle, OH 45005-3318

Mailing address

771 Central Ave
Carlisle, OH 45005-3318
Phone (513) 267-3297

Other identifiers 1

IdentifierTypeStateIssuer
0112412MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161206000398 OH Part B Supplier - Mass Immunization (Roster Biller Only) 4082994207 Practice locations: Carlisle, OH

National Provider Directory

National Provider Directory

Locations

771 Central Ave
Franklin, OH 45005
Phone (513) 267-3297

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1306249503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 CENTRAL AVE",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450053318",
            "telephone_number": "513-267-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 CENTRAL AVE",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450053318",
            "telephone_number": "513-267-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-267-3297",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022446000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112412",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.