Individual provider Active NPI

Janice Wynell Carlile, R.PH.

  • Pharmacist
  • Austell, GA
National Provider Identifier
1992706915
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
014647 Issued in GA
Practice address
3875 Austell Rd
Suite 302
Austell, GA 30106-1103
Phone
(770) 944-9101
Fax
(770) 944-7702
NPI assigned
Aug 2, 2005
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 014647 GA Primary

Addresses

Primary practice location

3875 Austell Rd
Suite 302
Austell, GA 30106-1103

Mailing address

801 Arbor Forest CT SW
Marietta, GA 30064-2868
Phone (770) 633-5917

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
014647GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Pharmacy and Medical Supply, LLC Past Accepting new patients
Physicians Pharmacy & Medical Supply LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1992706915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ARBOR FOREST CT SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642868",
            "telephone_number": "770-633-5917",
            "fax_number": "770-944-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 AUSTELL RD",
            "address_2": "SUITE 302",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061103",
            "telephone_number": "770-944-9101",
            "fax_number": "770-944-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLILE",
        "first_name": "JANICE",
        "middle_name": "WYNELL",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "014647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.