Provider Demographics
NPI:1982158358
Name:CARROLL, JONI (PHARMD)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:
Last Name:CARROLL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5607 BAUM BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3701
Mailing Address - Country:US
Mailing Address - Phone:412-383-4415
Mailing Address - Fax:
Practice Address - Street 1:3501 TERRACE STRET
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15261-3701
Practice Address - Country:US
Practice Address - Phone:412-383-4415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI009651183500000X
PARP449531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist