Active NPI
Marvin Calhoun Carlisle, PHARMD
- Pharmacist
- Sumter, SC
National Provider Identifier
1679083299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37428
- Practice address
- 1000 Broad St
Sumter, SC 29150-2505 - Phone
- (803) 773-7302
- NPI assigned
- Oct 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37428 | SC | Primary |
Addresses
Primary practice location
1000 Broad St
Sumter, SC 29150-2505
Mailing address
40 Walden Cir
Sumter, SC 29154-8135
Phone (803) 983-2073
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37428 | SC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1679083299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WALDEN CIR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291548135",
"telephone_number": "803-983-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BROAD ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291502505",
"telephone_number": "803-773-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLISLE",
"first_name": "MARVIN",
"middle_name": "CALHOUN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.