Organization Active NPI

Carroll Care Pharmacies LLC

  • Long Term Care Pharmacy
  • Westminster, MD
National Provider Identifier
1083661888
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
P01473 Issued in MD
Legal business name
CARROLL CARE PHARMACIES LLC
Practice address
291 Stoner Ave Ste 206
Westminster, MD 21157-5659
Phone
(410) 848-1618
Fax
(410) 848-1460
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Shannon Murphy
Title
Operationsmanager
Phone
(410) 848-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X P01473 MD Primary

Addresses

Primary practice location

291 Stoner Ave Ste 206
Westminster, MD 21157-5659

Mailing address

PO Box 1706
Westminster, MD 21158-5706
Phone (410) 848-9251

Other identifiers 2

IdentifierTypeStateIssuer
2037831OtherPK
405352400MedicaidMD

Other names 1

  • ANCHOR PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930072878 MD DME Supplier - PharmacyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 9234347352 Practice locations: Westminster, MD
O20211217001404 MD Part B Supplier - Pharmacy 9234347352 Practice locations: Westminster, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Carroll Care Pharmacies LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

291 Stoner Ave
Ste 206
Westminster, MD 21157
Phone (410) 848-1618

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1083661888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211585706",
            "telephone_number": "410-848-9251",
            "fax_number": "443-639-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 STONER AVE STE 206",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575659",
            "telephone_number": "410-848-1618",
            "fax_number": "410-848-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL CARE PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OPERATIONSMANAGER",
        "authorized_official_telephone_number": "410-848-9251"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "P01473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037831",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405352400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANCHOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.