Healthcare Provider Details

I. General information

NPI: 1831491349
Provider Name (Legal Business Name): CARISSA POSTON PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2010
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 MIDWAY ST
BRISTOL VA
24201-3246
US

IV. Provider business mailing address

466 CUMMINGS ST
ABINGDON VA
24210-3220
US

V. Phone/Fax

Practice location:
  • Phone: 276-642-0035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202207409
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0000028289
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: