Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. MATTHEW JAY CARLISLE
Active
Individual
MR. MATTHEW JAY CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051035160
IL
183500000X
Pharmacist
Primary
090974
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040974
MISSOURI STATE BOARD OF PHARMACY
MO
01
—
051035160
ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION - PHARMACIST
IL
Enumeration date
12/11/2018
Last updated
12/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers