Individual provider Active NPI

Anne Therese Carlisto, RPH

  • Pharmacist
  • Saratoga Springs, NY
National Provider Identifier
1639492846
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037115 Issued in NY
Practice address
20 Sicada St
Saratoga Springs, NY 12866-8706
Phone
(518) 583-9190
NPI assigned
Mar 3, 2010
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037115 NY Primary

Addresses

Primary practice location

20 Sicada St
Saratoga Springs, NY 12866-8706

Mailing address

20 Sicada St
Saratoga Springs, NY 12866-8706
Phone (518) 583-9190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
037115NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1639492846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SICADA ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668706",
            "telephone_number": "518-583-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SICADA ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668706",
            "telephone_number": "518-583-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISTO",
        "first_name": "ANNE",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.