Caroline Joan Liddicoat, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S016821 Issued in AZ

Practice address

3511 W Peoria Ave
Phoenix, AZ 85029-4037

Phone

(602) 866-5453

NPI assigned

Oct 9, 2009

Last updated

Oct 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smiths Food & Drug Centers Inc

  dba Frys Food and Drug

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1689616229
  NPD (past)
• Smith's Food & Drug Centers Inc

  dba Smith's Pharmacy #303

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1720313661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 W MCRAE WAY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085923",
            "telephone_number": "602-549-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W PEORIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294037",
            "telephone_number": "602-866-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDICOAT",
        "first_name": "CAROLINE",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamey Lichtenfels-Manalli, M.S.,CCC-SLP
• Christopher S Lichtenwalter, M.D.
• Megan Licking, MS, CCC-SLP
• Lida Redirect Assist LLC
• Jeremy John Liddiard, D.M.D.
• Vanessa Shantel Lidge
• Abraham Nathan Lieberman, M.D.
• Daniel M Lieberman, M.D.
• Ina G. Lieberman, MD
• Tamara H Lieberman, M.D.

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.