Individual provider Active NPI

Michael Andrew McConnell, PHARMD

  • Pharmacist
  • Altoona, PA
National Provider Identifier
1043044738
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP457269 Issued in PA
Practice address
4200 Industrial Park Dr
Altoona, PA 16602-1737
Phone
(855) 265-8008
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP457269 PA Primary

Addresses

Primary practice location

4200 Industrial Park Dr
Altoona, PA 16602-1737

Mailing address

4200 Industrial Park Dr
Altoona, PA 16602-1737
Phone (855) 265-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP457269PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Value Specialty Pharmacy LLC CurrentSince Sep 1, 2024 Accepting new patients
Value Specialty Pharmacy LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

4200 Industrial Park Dr
Altoona, PA 16602
Phone (855) 265-8008

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1043044738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 INDUSTRIAL PARK DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021737",
            "telephone_number": "855-265-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 INDUSTRIAL PARK DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021737",
            "telephone_number": "855-265-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP457269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.