Active NPI
Carrie Bohannon, PHARMD
- Pharmacist
- Fleming Island, FL
National Provider Identifier
1902397813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029323
- Practice address
- 1545 County Road 220
Fleming Island, FL 32003-7922 - Phone
- (904) 364-5766
- NPI assigned
- May 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH029323 | GA | Primary |
Addresses
Primary practice location
1545 County Road 220
Fleming Island, FL 32003-7922
Mailing address
215 Bayberry Cir Unit 607
Saint Augustine, FL 32086-5688
Phone (770) 548-4157
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029323 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1902397813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BAYBERRY CIR UNIT 607",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865688",
"telephone_number": "770-548-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 COUNTY ROAD 220",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320037922",
"telephone_number": "904-364-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHANNON",
"first_name": "CARRIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-25",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.