Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609508043 Individual Practitioner Female Practitioner

Dr. Carly Josephine Black , PharmD

Pharmacist • Park Rapids, MN

Professional Overview & Biography Verified Profile Summary

Dr. Carly Black, PharmD is a registered healthcare professional specializing in Pharmacist in Park Rapids, MN. Practice services are available at 101 MAIN AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Main Ave N

Park Rapids, MN 564701511

Telephone 2187323342
Associated Practice Facility / Clinic
🏢 Snyders Drug Facility NPI 1063506467

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Park Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Park Rapids, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-24
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 125601

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Taryn Benton

Pharmacist

NPI 1164184941
NPI 1295142123

Doctor of Pharmacy (Pharm.D.)

NPI 1558722207

Doctor of Pharmacy (Pharm.D.)

NPI 1659516771

Registered Pharmacist

NPI 1881971703

Doctor of Pharmacy (Pharm.D.)

NPI 1891404190

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2022

Registered at 101 MAIN AVE N, PARK RAPIDS, MN 564701511 (Tel: 2187323342)

📍
Updated Business Mailing Address June 24, 2022

Registered at 2550 18TH ST S APT 201, FARGO, ND 581036657 (Tel: 7012193218)

👤
Provider Name / Credentials Updated June 24, 2022

Recorded as CARLY BLACK, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2022

Pharmacist (License #125601 in MN)

🟢
Initial NPI Registration & Enumeration June 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609508043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2022
Last Update: June 24, 2022
Sole Proprietor: No

Mailing Address

2550 18th St S Apt 201

Fargo, ND 581036657

Phone: 7012193218

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.