Jordan Carroll, PHARM.D, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

25127 Issued in MD

Practice address

5100 Brown Station Rd
Upper Marlboro, MD 20772-9132

Phone

(301) 627-1500

NPI assigned

Aug 9, 2017

Last updated

Aug 9, 2017By 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

Other names 1

• Jordan Carroll Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1467977603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 ENDERS LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207167325",
            "telephone_number": "678-896-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BROWN STATION RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729132",
            "telephone_number": "301-627-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "25127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "CARROLL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.