Lisa Ann Caviness, PHARM. D.

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

0000044179 Issued in TN

Practice address

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone

(931) 431-2800

NPI assigned

May 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1417522806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 UNION AVE APT 251",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "931-431-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINESS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TN",
            "license": "0000044179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Castillo
• Helen W. Castle
• Brian Joseph Caston, PA-C
• Carson Caudill, PTA
• Micki D Cavender, RN
• April Michelle Celotto, LCSW
• Rhonda Lynn Centuolo, CNM
• Justin Chaltry, DO
• Michelle Lea Chambers, LCSW
• Todd Andrew Champlin, PT

• Ambulatory Care Pharmacist in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Ambulatory Care Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.