Travona Carlisle, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

72784 Issued in CA

Practice address

1168 W Branch St
Arroyo Grande, CA 93420-1906

Phone

(805) 474-0900

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2018.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1346722014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 CREEKVIEW WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203909",
            "telephone_number": "609-674-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 W BRANCH ST",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201906",
            "telephone_number": "805-474-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "TRAVONA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY CALIFORNIA",
            "identifier": "72784",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Kathryn Bynum, L.AC., C.M.T.
• Daniel William Cable, PA-C
• Maria Regina Camberos Rios, PT
• Jerilynn Ford Campbell, M.D.
• Nicolette Cantarella, MA
• Cheryl Ann Caruso, REGISTERED NURSE
• Susan Denise Cashier-Cozza, RDHAP #189
• Patrick Kyle Cassidy, PSYCH TECH
• Alyssa Katherine Castagna, NP
• Veronica Jenale Castilleja

• All providers in Arroyo Grande, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.