Carlissa Felton

Primary specialty

PharmacistTaxonomy code 183500000X

License

26026132A Issued in IN

Practice address

500 S Liberty Dr
Bloomington, IN 47403-1924

Phone

(812) 349-1391

Fax

(812) 349-1393

NPI assigned

Nov 29, 2019

Last updated

Nov 29, 2019By 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

State licenses

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1861039646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CINDY LN",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474218215",
            "telephone_number": "765-576-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S LIBERTY DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474031924",
            "telephone_number": "812-349-1391",
            "fax_number": "812-349-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTON",
        "first_name": "CARLISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26026132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark R Feldman, MD
• Elizabeth Felsman, BS
• Helen Rachel Fender, ED.S., I.P.E.
• Alyson Ferguson, RBT
• Andrew Dundee Ferguson, M.D.
• Derrick T Ferguson, DO
• Keli Kazmar Ferguson, PA-C

• Pharmacist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.