DR. MACON DEVAUGHN CARROLL PHARM.D.
NPI 1083960504
Pharmacist in Waynesboro, TN

Q: What is Macon Carroll's NPI number?

The NPI number for Macon Carroll is 1083960504. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Q: What is Macon Carroll's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Macon Carroll was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2012

107 JV MANGUBAT DR, WAYNESBORO, TN 38485(931) 722-2296(931) 722-3464 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Macon Devaughn Carroll Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MACON DEVAUGHN CARROLL PHARM.D. (NPI 1083960504) is an individual pharmacist in Waynesboro, Tennessee, licensed in Tennessee (0000036920) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1083960504

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. MACON DEVAUGHN CARROLLCredential: PHARM.D.

Location Address107 JV MANGUBAT DRWaynesboro, TN 38485-2440

Mailing Address215 Dexter L Woods Memorial BlvdWaynesboro, TN 38485-2416 · (931) 722-5466 · Fax (931) 722-9495

Phone(931) 722-2296

Fax(931) 722-3464

Sole ProprietorYes

Enumeration DateAugust 2, 2012

Last NPPES UpdateDecember 6, 2022

NPPES CertifiedDecember 6, 2022

✔ NPI 1083960504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in TN · 0000036920

Definition

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.

107 JV MANGUBAT DR, Waynesboro, TN 38485

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Other Identifiers 1

Other36920TN · Board Of Pharmacy License

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HILLARY J COPE FNPC

Nurse Practitioner (Family)