Healthcare Provider Details

I. General information

NPI: 1508112517
Provider Name (Legal Business Name): JONATHAN THOMAS CARANFA MD, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 LAKE BOONE TRL STE 302
RALEIGH NC
27607-7514
US

IV. Provider business mailing address

4414 LAKE BOONE TRL STE 302
RALEIGH NC
27607-7514
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-8038
  • Fax: 919-782-8189
Mailing address:
  • Phone: 919-782-8038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2025-04190
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRS2023-1269
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: