NPIMap

Organization Active NPI

Carlie CS of Cliffdale LLC

  • Community/Retail Pharmacy
  • Fayetteville, NC
National Provider Identifier
1477880185
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10396 Issued in NC
Legal business name
CARLIE CS OF CLIFFDALE LLC
Doing business as
Carlie C's Pharmacy #830
Practice address
690 S Reilly Rd
Fayetteville, NC 28314-5626
Phone
(910) 826-8942
Fax
(910) 826-9069
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Libby Willis, RPHNPI 1255623443
Title
Pharmacy Manager
Phone
(910) 826-8942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10396 NC Primary

Addresses

Primary practice location

690 S Reilly Rd
Fayetteville, NC 28314-5626

Mailing address

690 S Reilly Rd
Fayetteville, NC 28314-5626
Phone (910) 826-8942

Other identifiers 1

IdentifierTypeStateIssuer
3418212OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Carlie C's Pharmacy #830 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1477880185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145626",
            "telephone_number": "910-826-8942",
            "fax_number": "910-826-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145626",
            "telephone_number": "910-826-8942",
            "fax_number": "910-826-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLIE CS OF CLIFFDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-826-8942",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3418212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlie C's Pharmacy #830",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.