Carlies CS of Benson Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10233 Issued in NC

Legal business name

CARLIES CS OF BENSON INC

Practice address

604 S Wall St
Benson, NC 27504-1824

Phone

(919) 894-1237

Fax

(919) 894-1343

NPI assigned

Feb 2, 2009

Last updated

Jan 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn M. Faircloth

Title

Pharmacy Director

Phone

(910) 892-4124

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Tax ID family

Carlie C's of Benson Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carlie C's of Benson, Inc.

  dba Carlie C's Pharmacy #870

  • Community/Retail Pharmacy
  • Benson, NC
  • NPI 1356740575
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Edward Raynor, RPH

  • Pharmacist
  • Benson, NC
  • NPI 1013298512
  NPD (past)

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1700024528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S WALL ST",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041824",
            "telephone_number": "919-894-1237",
            "fax_number": "919-894-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S WALL ST",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041824",
            "telephone_number": "919-894-1237",
            "fax_number": "919-894-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLIES CS OF BENSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOTH",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "910-892-4124"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE/PERMIT",
            "identifier": "10233",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardinal Care Assisted Living Village #6
• Cardinal Care Assisted Living Village#4
• Caribbean Palace LLC
• Caribbean Palace LLC
• Carlie C's of Benson, Inc. (Carlie C's Pharmacy #870)
• Jade Reese Carpenter, PHARMD
• Central Medical Associates
• Neema Chandel, PA-C
• Jon Russell Clayton, PA
• Connections Behavioral Health and Wellness, PLLC

• Community/Retail Pharmacy in Benson, NC
• Providers in Benson, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.