Kelly Carroll

Primary specialty

PharmacistTaxonomy code 183500000X

License

050359 Issued in NY

Practice address

105 Pine Hollow Way
Chester, NY 10918

Phone

(518) 653-9578

NPI assigned

Mar 4, 2010

Last updated

Mar 4, 2010By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1447573548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINE HOLLOW WAY",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181512",
            "telephone_number": "518-653-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PINE HOLLOW WAY",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "10918",
            "telephone_number": "518-653-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Mary Budd, LPN
• Sonia Y. Byrd, PSYD
• Suzanne Yvonne Campbell, DDS
• Mae Resa Card, P.T., D.P.T.
• Carmen Andino Inc.
• Tebble Cassel, DPT
• Chester Union Free School District
• Chester Volunteer Ambulance Corp
• Mark Cooper, D.D.S.
• Allison Csernai, LMSW

• Pharmacist in Chester, NY
• Providers in Chester, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.