1265205413 NPI number — DR. CARRIE LEIGH PARSONS PHARMD

Table of content: DR. CARRIE LEIGH PARSONS PHARMD (NPI 1265205413)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265205413 NPI number — DR. CARRIE LEIGH PARSONS PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARSONS
Provider First Name:
CARRIE
Provider Middle Name:
LEIGH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PALMER
Provider Other First Name:
CARRIE
Provider Other Middle Name:
LEIGH
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1265205413
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1400 HOSPITAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HURRICANE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25526-9202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-757-1763
Provider Business Mailing Address Fax Number:
304-757-5452

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HURRICANE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25526-9202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-757-1763
Provider Business Practice Location Address Fax Number:
304-757-5452
Provider Enumeration Date:
10/31/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835P0018X , with the licence number:  RP0005513 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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