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CARROLL PHARMACY INC NPI 1053647255


NPI Information

NPI: 1053647255
Provider Name: CARROLL PHARMACY INC

Doing Business As: CARROLL PHARMACY LONG TERM CARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 34D1062049

Address:
840 S BRIGHTLEAF BLVD
SMITHFIELD, NC
ZIP 27577
Phone: (919) 934-7164
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CARROLL PHARMACY INC is a long term care pharmacy pharmacy in Smithfield, NC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CARROLL PHARMACY INC NPI is 1053647255. The provider is registered as an organization entity type.
The provider Is Doing Business As Carroll Pharmacy Long Term Care.

The provider's business location address is:

840 S BRIGHTLEAF BLVD
SMITHFIELD, NC
ZIP 27577-377
Phone: (919) 934-7164
Fax: (919) 934-0921

The provider's authorized official is Alan Jordan Carroll .
The authorized official title is Owner/president and has the following contact phone number (919) 934-7164.

The CLIA number assigned to this NPI record is 34D1062049 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2009 and was last updated on 5/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy03326NORTH CAROLINANo
23336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10515296MEDICAIDNORTH CAROLINA
27700865MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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