NPIMap

Organization Active NPI

Carroll Pharmacy Inc

  • Long Term Care Pharmacy
  • Smithfield, NC
National Provider Identifier
1053647255
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CARROLL PHARMACY INC
Practice address
840 S Brightleaf Blvd
Smithfield, NC 27577-4377
Phone
(919) 934-7164
Fax
(919) 934-0921
NPI assigned
Oct 22, 2009
Organization subpart
Yes
Parent organization
CARROLL PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alan Jordan Carroll, PHARM D
Title
Owner/President
Phone
(919) 934-7164

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 03326 NC
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

840 S Brightleaf Blvd
Smithfield, NC 27577-4377

Mailing address

840 S Brightleaf Blvd
Smithfield, NC 27577-4377
Phone (919) 934-7164

Other identifiers 2

IdentifierTypeStateIssuer
0515296MedicaidNC
7700865MedicaidNC

Other names 1

  • Carroll Pharmacy Long Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carroll Pharmacy Inc3 organizations share this tax ID, including this one
Part of
Carroll Pharmacy Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1053647255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774377",
            "telephone_number": "919-934-7164",
            "fax_number": "919-934-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774377",
            "telephone_number": "919-934-7164",
            "fax_number": "919-934-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARROLL PHARMACY INC",
        "enumeration_date": "2009-10-22",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-934-7164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "03326",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515296",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700865",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.