MR. MATTHEW ROBERT CARROLL (NPI# 1205150968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205150968 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW ROBERT CARROLL |
| Credential | RPH |
| Practice Address |
835 Solomons Island Rd N Prince Frederick MD 20678-3912 |
| Practice Telephone | 4105352132 |
| Practice Fax Number | 4105355710 |
| Mailing Telephone | 4105352132 |
| Mailing Fax Number | 4105355710 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11092 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325580 | Matthew Carroll | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Internal Medicine, Los Angeles, CA 90095-7419 | 2019-03-18 |
| 1124247341 | Matthew Bernard Carroll | Internal Medicine | 3101 Denny Ave Ste 240, Pascagoula, MS 39581-5307 | 2007-04-25 |
| 1225139314 | Matthew Carroll | Psychiatry & Neurology | 3131 Camino Del Rio N Ste 270, San Diego, CA 92108-5703 | 2006-09-25 |
| 1780152025 | Matthew Carroll | Specialist/Technologist | 505 Jim Calhoun Way, Storrs, CT 06268-1728 | 2018-11-05 |
| 1710455209 | Matthew William Carroll | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2018-11-02 |
| 1588169320 | Matthew Carroll | Student in an Organized Health Care Education/Training Program | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2018-03-26 |
| 1548789175 | Matthew T Carroll | Physical Therapist | 8796 Route 219, Brockway, PA 15824-6010 | 2017-09-14 |
| 1003270091 | Matthew Carroll | Obstetrics & Gynecology | 1 Baylor Plz, Bcm610, Houston, TX 77030-3411 | 2016-04-06 |
| 1346595014 | Matthew L. Carroll | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2012-07-19 |
| 1518283761 | Matthew Carroll | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2010-04-13 |
| Street Address |
835 SOLOMONS ISLAND RD N |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962724252 | Laura E Sampson | Pharmacist | 835 Solomons Island Rd N, Prince Frederick, MD 20678-3912 | 2010-02-27 |
| 1851845291 | Hang Thi Nguyen | Pharmacist | 835 Solomons Island Rd N, Prince Frederick, MD 20678-3912 | 2016-08-14 |
| 1356712236 | Hiralben Patel | Pharmacist | 835 Solomons Island Rd N, Prince Frederick, MD 20678-3912 | 2015-10-17 |
| 1558392530 | K Mart Corp | Pharmacy | 835 Solomons Island Rd N, Prince Frederick, MD 20678-3912 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245623222 | Diane Bell | Pharmacist | 2632 Sequoia Way, Prince Frederick, MD 20678-3390 | 2015-03-14 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1326350588 | Vinod Kumar Thakur | Pharmacist | 355 Market Square Dr, Prince Frederick, MD 20678-3173 | 2010-07-04 |
| 1962724252 | Laura E Sampson | Pharmacist | 835 Solomons Island Rd N, Prince Frederick, MD 20678-3912 | 2010-02-27 |
| 1528669397 | Susan Leigh Wisniewski | Pharmacist | 655 Solomons Island Rd N, Prince Frederick, MD 20678-3915 | 2020-11-06 |
| 1811597594 | Alissa Britt | Pharmacist | 150 Solomons Island Rd N, Prince Frederick, MD 20678-3906 | 2020-10-30 |
| 1629678412 | Constance Mafor Tazem | Pharmacist | 150 Solomons Island Rd N, Prince Frederick, MD 20678-3906 | 2020-10-29 |
| 1013520949 | Shannon Douglas | Pharmacist | 355 Market Square Dr, Prince Frederick, MD 20678-3173 | 2020-08-29 |
| 1447862040 | Yonas Yadessa Gemechu | Pharmacist | 110 Hospital Rd Ste 100, Prince Frederick, MD 20678-4039 | 2020-08-17 |
| 1609430461 | Danielle Sian Woods | Pharmacist | 80 W Dares Beach Rd, Prince Frederick, MD 20678-3108 | 2019-04-26 |
| Find all providers in PRINCE FREDERICK | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
Please comment or provide details below to improve the information on MR. MATTHEW ROBERT CARROLL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.