Corliss Michelle Carter, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

42698 Issued in TN

Practice address

8046 Macon Rd
Cordova, TN 38018-8531

Phone

(901) 753-1331

Fax

(901) 753-9914

NPI assigned

Aug 17, 2020

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 names 1

• Corliss Michelle Carter Professional name

Electronic endpoints 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

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1346852928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 MACON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188531",
            "telephone_number": "901-753-1331",
            "fax_number": "901-753-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8046 MACON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188531",
            "telephone_number": "901-753-1331",
            "fax_number": "901-753-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CORLISS",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "42698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.04232@store.walgreens.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8046 Macon Rd",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380188531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CORLISS",
            "last_name": "CARTER",
            "middle_name": "MICHELLE",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caring Hearts Memphis LLC
• Caring Nurses
• Jennifer Carmichael
• William McDonald Carmon, PHARMD
• Jola Carrick, R.N.
• Karen Wynne Carter
• Noah Carter
• Cary Carver
• Jessica Castaneda
• Johanna Castillon

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Cordova, TN
• Providers in Cordova, TN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.