Carlie C'S of Cliffdale, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10396 Issued in NC

Legal business name

CARLIE C'S OF CLIFFDALE, LLC

Practice address

690 S Reilly Rd
Fayetteville, NC 28314-5625

Phone

(910) 826-8942

Fax

(910) 826-9069

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

Mrs. Libby Willis, RPHNPI 1255623443

Title

Pharmacy Manager

Phone

(910) 826-8942

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CARLIE C'S PHARMACY #830 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Libby McLemore Willis, RPH

  • Pharmacist
  • Fayetteville, NC
  • NPI 1255623443
  NPD (past) Authorized official

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": "1851790984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145625",
            "telephone_number": "910-826-8942",
            "fax_number": "910-826-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145625",
            "telephone_number": "910-826-8942",
            "fax_number": "910-826-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLIE C'S OF CLIFFDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-826-8942",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NCPDP",
            "identifier": "3418212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARLIE C'S PHARMACY #830",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caring Hearts Home Care Agency
• Caring Hearts Home Care Agency
• Carl a. Gentry, DDS. PA
• Carlie C'S of Cedar Creek
• Carlie C'S of Cedar Creek, LLC
• Carlie CS of Cliffdale LLC
• Daniel Aaron Carlisle, CRNA
• Kailey Carlson, PSY.D. LP
• Mark Tague Carlson, DDS
• Tonya Carlysle, DC

• Community/Retail Pharmacy in Fayetteville, NC
• Providers in Fayetteville, 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.