Leisha Matney Carroll, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

10168 Issued in TN

Practice address

2525 Desales Ave
Chattanooga, TN 37404-1161

Phone

(423) 495-8380

NPI assigned

Mar 18, 2007

Sex

Female

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

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285758169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CLEARVIEW CIR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373235799",
            "telephone_number": "423-479-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041161",
            "telephone_number": "423-495-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LEISHA",
        "middle_name": "MATNEY",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "10168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Carraway
• Kevin Carrazco
• Rhonda R Carrick, PAC
• Joy Carrigan, BEHAVIOR TECHNICIAN
• Allison Renee Carroll, MSN, PMHNP-BC
• Nancy Carroll, L.P.E
• Rebecca Nicole Carroll, RN
• Richard Carroll, MD
• Shirley Miriah Carroll, MSW
• Curtis L Carruthers, DDS

• Pharmacist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.