Carol Dixon Gaudelli, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10467 Issued in NC

Practice address

600 Cedar Creek Rd
Fayetteville, NC 28312-6504

Phone

(910) 483-8972

Fax

(910) 484-0607

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Carlie C'S of Cedar Creek

  • Community/Retail Pharmacy
  • Fayetteville, NC
  • NPI 1245263052
  NPD (past) Authorized official
• Carlie C'S of Cedar Creek, LLC

  • Community/Retail Pharmacy
  • Fayetteville, NC
  • NPI 1538568753
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386789014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 LINDBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067522",
            "telephone_number": "910-429-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CEDAR CREEK RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283126504",
            "telephone_number": "910-483-8972",
            "fax_number": "910-484-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDELLI",
        "first_name": "CAROL",
        "middle_name": "DIXON",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "10467",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Gates, M.S. CCC-SLP
• Ruth Ann Gates, MA CCC-SLP
• Gateway Communications, PLLC
• Sania Gathers
• Qiana Tamieka Gatling
• Leigh-Anne Gaumond, LCSWA, LCAS
• Ricardo E Gautier, MT
• Charles S Gay, PHYSICAL THERAPIST
• Alexander Gaykovyy, DO
• Stephanie Gayles, MS, RD, LDN

• Pharmacist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pharmacist in North Carolina

• 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.