Carlie C'S of Benson, Inc.

Key facts

NPI: 1356740575
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 10233 (NC)
Legal business name: CARLIE C'S OF BENSON, INC.
Practice address: 604 S Wall St
Benson, NC 27504-1824
Phone: (919) 894-1237
Fax: (919) 894-1343
NPI assigned: Aug 14, 2014
Organization subpart: No

Authorized official

Name: Mr. Charles E Raynor, RPH
Title: Pharmacy Manager
Phone: (919) 894-1237

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Carlies CS of Benson Inc Community/Retail Pharmacy · Benson, NC · NPI 1700024528

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Charles Edward Raynor, RPH Pharmacist · Benson, NC · NPI 1013298512

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
34D2229091	Carlie C'S Benson 604 South Wall Street, Benson, NC 27504	Certificate of waiver	Jul 6, 2027

National Provider Directory

Tax ID family: Carlie C'S of Benson Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	10233	NC	Yes

Addresses

Primary practice location

604 S Wall St
Benson, NC 27504-1824

Mailing address

604 S Wall St
Benson, NC 27504-1824
Phone (919) 894-1237

Other identifiers

Identifier	Type	State	Issuer
3413503	Other		NABP/NCPDP

Other names

CARLIE C'S PHARMACY #870 Doing business as

Other providers in Benson, NC

All providers in Benson, NC · Community/Retail Pharmacy in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.