Provider Demographics
NPI:1962112797
Name:CARTER, NILES C (PHARMD)
Entity type:Individual
Prefix:MR
First Name:NILES
Middle Name:C
Last Name:CARTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 31ST AVE N APT 204
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1244
Mailing Address - Country:US
Mailing Address - Phone:803-466-7259
Mailing Address - Fax:
Practice Address - Street 1:122 31ST AVE N APT 204
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1244
Practice Address - Country:US
Practice Address - Phone:803-466-7259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No183700000XPharmacy Service ProvidersPharmacy Technician