Healthcare Provider Details

I. General information

NPI: 1982937397
Provider Name (Legal Business Name): CARISSA L ISBELL PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2009
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 UNIVERSITY CITY BLVD
BLACKSBURG VA
24060-2709
US

IV. Provider business mailing address

903 UNIVERSITY CITY BLVD
BLACKSBURG VA
24060-2709
US

V. Phone/Fax

Practice location:
  • Phone: 540-951-4136
  • Fax:
Mailing address:
  • Phone: 540-951-4136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2209040
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24651
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number33060
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: