Richard Lamar Carlisle Sr., RPH
Individual provider Active NPI Pharmacist · Tuskegee, AL
NPI 1831290352 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831290352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7700 (AL)
- Practice address
- 2400 Hospital Rd
Cavhcs Pharmacy Service 119
Tuskegee, AL 36083-5001 - Phone
- (334) 727-0550
- Fax
- (334) 727-2527
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7700 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7700 | AL | Yes |
Addresses
Primary practice location
2400 Hospital Rd
Cavhcs Pharmacy Service 119
Tuskegee, AL 36083-5001
Mailing address
2215 Springhill Dr
Auburn, AL 36830-7133
Phone (334) 821-2833
Other providers in Tuskegee, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.