Lauren Alexandra Carroll, PHARM. D
Individual provider Active NPI Pharmacist · Mount Ida, AR
NPI 1235907924 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1235907924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD11382 (AR)
- Practice address
- 744 Highway 270 E
Mount Ida, AR 71957-8003 - Phone
- (870) 867-3174
- NPI assigned
- Dec 13, 2023
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD11382 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD11382 | AR | Yes |
Addresses
Primary practice location
744 Highway 270 E
Mount Ida, AR 71957-8003
Mailing address
154 Garner Mountain Rd
Amity, AR 71921-9014
Other providers in Mount Ida, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. 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.