Organization Active NPI

Carroll Total Care Pharmacy Inc.

Doing business as carroll pharmacy

  • Community/Retail Pharmacy
  • Pinson, AL
National Provider Identifier
1265582688
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
110500 Issued in AL
Legal business name
CARROLL TOTAL CARE PHARMACY INC.
Doing business as
carroll pharmacy
Practice address
6767 Old Springville Rd
Pinson, AL 35126-3039
Phone
(205) 680-5557
Fax
(205) 680-5502
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Mr. Greg W Carroll, R.PH.
Title
C.E.O
Phone
(205) 680-5557

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X
Medical Specialty Clinic/Center 261QM2500X
Community/Retail Pharmacy 3336C0003X 110500 AL Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

6767 Old Springville Rd
Pinson, AL 35126-3039

Mailing address

6767 Old Springville Rd
Pinson, AL 35126-3039
Phone (205) 680-5557

Other identifiers 1

IdentifierTypeStateIssuer
1000002717MedicaidAL

Other names 1

  • carroll pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190227002941 AL Part B Supplier - Pharmacy 3173862679 Practice locations: Pinson, AL

National Provider Directory

National Provider Directory

Locations

6767 Old Springville Rd
Pinson, AL 35126
Phone (205) 680-5557

Practitioners & affiliated clinicians

Practitioners 1

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1265582688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 OLD SPRINGVILLE RD",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263039",
            "telephone_number": "205-680-5557",
            "fax_number": "205-680-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 OLD SPRINGVILLE RD",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263039",
            "telephone_number": "205-680-5557",
            "fax_number": "205-680-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL TOTAL CARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "205-680-5557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "110500",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000002717",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "carroll pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "carroll pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.