Carlie CS of Memorial Drive LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10203 Issued in NC

Legal business name

CARLIE CS 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

Dec 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Arnold, PHARMD

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1891940060",
    "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 CS OF MEMORIAL DRIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-736-1973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3413072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlie C's Pharmacy #835",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carepro LLC
• Carmen Cecilia Carias-Romero, SLP
• Caring Community Services LLC
• Caring Hands 4 You LLC
• Carlie C's 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
• Keith Kilauea Carmack, M.D.

• 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 Dec 8, 2017; 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.