Healthcare Provider Details

I. General information

NPI: 1154084085
Provider Name (Legal Business Name): CARRIE BALDWIN PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2021
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MARTHA LAYNE COLLINS BLVD
COLD SPRING KY
41076-2025
US

IV. Provider business mailing address

70 MARTHA LAYNE COLLINS BLVD
COLD SPRING KY
41076-2025
US

V. Phone/Fax

Practice location:
  • Phone: 859-781-6372
  • Fax: 859-781-5167
Mailing address:
  • Phone: 859-781-6372
  • Fax: 859-781-5167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number022181
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: