Lacey Johnson Carroll

Primary specialty

PharmacistTaxonomy code 183500000X

License

20528 Issued in AL

Practice address

1801 Woodward Ave
Muscle Shoals, AL 35661-2843

Phone

(256) 383-0896

NPI assigned

Aug 30, 2018

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Muscle Shoals, AL
  • NPI 1811902182
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1992287593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WOODWARD AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WOODWARD AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612843",
            "telephone_number": "256-383-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LACEY",
        "middle_name": "JOHNSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "20528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Brown Burks
• Russell Edwin Burks, DPT
• Christy Burns
• Jessica Byrd, NP
• April Cheyenne Campbell, MS, RD, LD
• Rommy Cedeno, MD
• Deeksha Chakrabarty
• Robert E Chasan, M.D.
• Anusha Chintapalli, MD
• Amy T Clark, MD

• Pharmacist in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.