Carson Lee Kantoris, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH035194 Issued in GA

Practice address

6766 Hickory Flat Hwy
Canton, GA 30115-9224

Phone

(770) 721-7300

NPI assigned

Oct 30, 2024

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1942022868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WATERS LAKE CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882059",
            "telephone_number": "561-353-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6766 HICKORY FLAT HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159224",
            "telephone_number": "770-721-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTORIS",
        "first_name": "CARSON",
        "middle_name": "LEE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH035194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edward Park Kang, M.D.
• Christy P Karnbach
• Kat International Group Inc
• Dino Kattato, CRNA
• Amy Joyce Keim
• Venus M Kell, NP-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Canton, GA
• Providers in Canton, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.