Jacqueline Marie Carson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03124800 Issued in OH

Practice address

5501 Mahoning Ave
Austintown, OH 44515-2316

Phone

(330) 792-4785

Fax

(330) 792-6407

NPI assigned

Nov 15, 2011

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

Other identifiers 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

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.

• Walgreen Co

  • Pharmacy
  • Austintown, OH
  • NPI 1245245273
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1437436714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 GREEN BEAVER RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069497",
            "telephone_number": "330-702-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 MAHONING AVE",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152316",
            "telephone_number": "330-792-4785",
            "fax_number": "330-792-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03124800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "248422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Cansler
• Sandra Ann Carey
• Juliana Marie Cario, BS
• Chalanda J Carr
• Michelle Elizabeth Carroll, CT
• Kaisha Carver
• Georgia Kay Case, RN
• Mary Sarah Cernica-Reichard, DPM
• Keith Chance, LMT
• Dasia Chandler

• Pharmacist in Austintown, OH
• Providers in Austintown, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.