Active NPI
Janice Wynell Carlile, R.PH.
- Pharmacist
- Austell, GA
National Provider Identifier
1992706915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014647
- 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, 2015
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 014647 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Physicians Pharmacy
- Community/Retail Pharmacy
- Austell, GA
- NPI 1902879265
-
- Durable Medical Equipment & Medical Supplies
- Austell, GA
- NPI 1912464090
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.