S. Phillip Carson, PHARM D. ; R.PH.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

34541 Issued in TN

Practice address

2801 W Main St
Tupelo, MS 38801-3001

Phone

(662) 840-6411

Fax

(662) 840-4598

NPI assigned

Dec 30, 2011

Sex

Male

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

State licenses

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1487924916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013001",
            "telephone_number": "662-840-6411",
            "fax_number": "662-840-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013001",
            "telephone_number": "662-840-6411",
            "fax_number": "662-840-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "S.",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "PHARM D. ; R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "MS",
            "license": "E-7450",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "34541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Anglin Carpenter, LMSW
• Cecilia Ann Carr, FNP-BC, PMHNP-BC
• Chaiston Luke Carr, PHARMD
• Daesha Carr
• William Steven Carroll, MD
• Donald R Carter, CRNA
• Ellen Berry Carter, MD
• Hallie Brianna Carter, PMHNP
• Kristina L Carter
• Lauren Nicole Carter

• All providers in Tupelo, MS
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.