Active NPI
Patricia Carroll, RPH
- Pharmacist
- Canton, MA
National Provider Identifier
1275686370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20780
- Practice address
- 95 Washington St
Canton, MA 02021-4006 - Phone
- (781) 298-4400
- Fax
- (781) 298-4407
- NPI assigned
- Jan 19, 2007
- Last updated
- Apr 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20780 | MA | Primary |
Addresses
Primary practice location
95 Washington St
Canton, MA 02021-4006
Mailing address
95 Washington St
Canton, MA 02021-4006
Phone (781) 298-4400
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20780 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1275686370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 WASHINGTON ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020214006",
"telephone_number": "781-298-4400",
"fax_number": "781-298-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 WASHINGTON ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020214006",
"telephone_number": "781-298-4400",
"fax_number": "781-298-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "PATRICIA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "20780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.