Carroll Creek Health Care LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PW0242 Issued in MD

Legal business name

CARROLL CREEK HEALTH CARE LLC

Practice address

420 E Patrick St
Frederick, MD 21701-5658

Phone

(301) 698-7420

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric James Burkholder

Title

Director

Phone

(301) 698-7420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598978199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015658",
            "telephone_number": "301-698-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015658",
            "telephone_number": "301-698-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL CREEK HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKHOLDER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-698-7420"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "PW0242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Eric Carnell, MD
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• Paige Elizabeth Carozzolo
• Christopher B. Carpenter, LCSW-C
• Christopher R. Carr, LCSW-C
• Jennalyn Elizabeth Carswell, LPN
• Carter Caring Counseling
• Bailey Louise Carter
• Devon Kobie Carter, LGPC
• Jennifer L Carter, PSY.D.

• Long Term Care Pharmacy in Frederick, MD
• Providers in Frederick, MD by specialty
• Long Term Care Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.