Active NPI
Sedale Carroll
- Pharmacy Technician
- Conshohocken, PA
National Provider Identifier
1255972931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 300 Conshohocken State Rd FL 2
Conshohocken, PA 19428-3801 - Phone
- (844) 826-3446
- NPI assigned
- Oct 3, 2019
- Last updated
- Oct 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | NU | Primary |
Addresses
Primary practice location
300 Conshohocken State Rd FL 2
Conshohocken, PA 19428-3801
Mailing address
256 Melrose Ave
East Lansdowne, PA 19050-2532
Phone (610) 731-1952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1255972931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 MELROSE AVE",
"city": "EAST LANSDOWNE",
"state": "PA",
"postal_code": "190502532",
"telephone_number": "610-731-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CONSHOHOCKEN STATE RD FL 2",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194283801",
"telephone_number": "844-826-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "SEDALE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.