Active NPI
Connor James Pritzel, PHARM D
- Pharmacist
- Independence, MO
National Provider Identifier
1063138105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2022038267
- Practice address
- 2261 S Sterling Ave
Independence, MO 64052-3668 - Phone
- (816) 833-5840
- NPI assigned
- Oct 19, 2022
- Last updated
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2022038267 | MO | Primary |
Addresses
Primary practice location
2261 S Sterling Ave
Independence, MO 64052-3668
Mailing address
3210 S Lees Summit Rd Unit 11
Independence, MO 64055-1959
Phone (816) 863-5276
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022038267 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1063138105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 S LEES SUMMIT RD UNIT 11",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640551959",
"telephone_number": "816-863-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2261 S STERLING AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640523668",
"telephone_number": "816-833-5840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITZEL",
"first_name": "CONNOR",
"middle_name": "JAMES",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2022038267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
- Richard G Prine, DDS
- Ashley Rose Pringle, CF-SLP
- Phillip Leon Pringle, LPC
- Stephen Floyd Pringle, M.A., D.MIN.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.