Carlie C's of Memorial Drive, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10203 Issued in NC

Legal business name

CARLIE C'S OF MEMORIAL DRIVE, LLC

Doing business as

Carlie C's Pharmacy #835

Practice address

1805 Wayne Memorial Dr
Goldsboro, NC 27534-2241

Phone

(919) 736-1973

Fax

(919) 736-1984

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Simon O Styron, RPH

Title

Pharmacy Manager

Phone

(919) 736-1973

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CARLIE C'S PHARMACY #835 Doing business as

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1801295027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342241",
            "telephone_number": "919-736-1973",
            "fax_number": "919-736-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342241",
            "telephone_number": "919-736-1973",
            "fax_number": "919-736-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLIE C'S OF MEMORIAL DRIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "STYRON",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-736-1973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NCPDP",
            "identifier": "3413072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARLIE C'S PHARMACY #835",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Care Counseling Inc
• Carepro LLC
• Carmen Cecilia Carias-Romero, SLP
• Caring Community Services LLC
• Caring Hands 4 You LLC
• Carlie CS of Memorial Drive LLC (Carlie C's Pharmacy #835)
• Alexandria Michael Carlisle, PHARMD
• Carlson Counseling and Wellness Solutions, PLLC
• Nathan Lee Carlson, IDMT
• Vanesha Carlton

• Community/Retail Pharmacy in Goldsboro, NC
• Providers in Goldsboro, 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 Aug 14, 2014; 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.