Michael Alan Carroll, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26030998A Issued in IN

Practice address

1260 E Sr 205
Columbia City, IN 46725

Phone

(260) 248-9520

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1265250203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 JEFFREY DR",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251429",
            "telephone_number": "574-551-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E SR 205",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "46725",
            "telephone_number": "260-248-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26030998A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Matthew Butler, MA
• Matthew A Byers, M.D.
• C. Bryan Wait, M.D., Internal Medicine,P.C.
• Monica Call, DO
• Randall K. Carpenter, M.D.
• Timothy R Chamberlain, M.D.
• Dimpal Chaudhari, PHARMD
• Alan J Christenberry
• Kristin Lynn Collins, DPT
• Columbia City Optometry, P.C.

• Pharmacist in Columbia City, IN
• Providers in Columbia City, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.