Bethany Ann Carroll, RPH
Individual provider Active NPI Pharmacist · Rumford, RI
NPI 1134411986 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1134411986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH03963 (RI)
- Practice address
- 220 Newport Ave
Rumford, RI 02916-2117 - Phone
- (401) 434-1333
- Fax
- (401) 435-4569
- NPI assigned
- May 12, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH03963 | RI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH03963 | RI | Yes |
Addresses
Primary practice location
220 Newport Ave
Rumford, RI 02916-2117
Mailing address
220 Newport Ave
Rumford, RI 02916-2117
Phone (401) 434-1333
Other providers in Rumford, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.