Individual provider Active NPI

Marcia Ruth O'Connor, B.S.,R.PH.

  • Pharmacist
  • Stamford, NY
National Provider Identifier
1053634501
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
029396 Issued in NY
Practice address
7 1/2 S Delaware St
Stamford, NY 12167-1227
Phone
(607) 434-5087
NPI assigned
Mar 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 029396 NY Primary

Addresses

Primary practice location

7 1/2 S Delaware St
Stamford, NY 12167-1227

Mailing address

7-1/2 South Delaware St.
Stamford, NY 12167-1227
Phone (607) 434-5087

Other identifiers 1

IdentifierTypeStateIssuer
029396OtherNYLICENSE

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
Bachelor of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
029396NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1053634501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7-1/2 SOUTH DELAWARE ST.",
            "city": "STAMFORD",
            "state": "NY",
            "postal_code": "121671227",
            "telephone_number": "607-434-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 1/2 S DELAWARE ST",
            "city": "STAMFORD",
            "state": "NY",
            "postal_code": "121671227",
            "telephone_number": "607-434-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "MARCIA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "B.S.,R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "029396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "029396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.