Individual provider Active NPI

Carl Allison

  • Pharmacist
  • Lake City, FL
National Provider Identifier
1841086451
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS15564 Issued in FL
Practice address
780 SE Baya Dr
Lake City, FL 32025-5403
Phone
(386) 755-6677
NPI assigned
Apr 18, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS15564 FL Primary

Addresses

Primary practice location

780 SE Baya Dr
Lake City, FL 32025-5403

Mailing address

3707 SW Salem Rd
Lake City, FL 32024-1984

Other practice location 1

620 S Lake St Ste 4
Leesburg, FL 34748-6059
Phone (352) 460-4030

Other practice location 2

1465 W US Highway 90 Ste 115
Lake City, FL 32055-6136
Phone (386) 755-2233

Other practice location 3

1465 W US Highway 90 Ste 110
Lake City, FL 32055-6154
Phone (386) 755-2233

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

State licenses

LicenseStateTypeSpecialty
PS15564FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Baya Urgent Care LLC Current Accepting new patients
Damol Inc Current Accepting new patients
Gateway Prescription Center Inc Past Accepting new patients
Gateway Prescription Center, Inc Past Accepting new patients
Gateway Prescription Center Inc Past Accepting new patients

Locations

1465 W US Highway 90
Ste 110
Lake City, FL 32055
Phone (386) 755-2233

1465 W US Highway 90
Ste 115
Lake City, FL 32055
Phone (386) 243-8358

620 S Lake St
Ste 4
Leesburg, FL 34748
Phone (352) 357-3129

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1841086451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 SW SALEM RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320241984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255403",
            "telephone_number": "386-755-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 S Lake St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347486059",
            "country_code": "US",
            "telephone_number": "352-460-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1465 W US Highway 90 Ste 115",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320556136",
            "country_code": "US",
            "telephone_number": "386-755-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1465 W US Highway 90 Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320556154",
            "country_code": "US",
            "telephone_number": "386-755-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "CARL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS15564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.