Active NPI
Sandra Ind Connell, RPH
- Pharmacist
- Gold River, CA
National Provider Identifier
1104035278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16392
- Practice address
- 2064 Promontory Point LN
Gold River, CA 95670-7277 - Phone
- (916) 631-1338
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 16392 | IA | Primary |
Addresses
Primary practice location
2064 Promontory Point LN
Gold River, CA 95670-7277
Mailing address
2064 Promontory Point LN
Gold River, CA 95670-7277
Phone (916) 631-1338
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16392 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104035278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2064 PROMONTORY POINT LN",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956707277",
"telephone_number": "916-631-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2064 PROMONTORY POINT LN",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956707277",
"telephone_number": "916-631-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "SANDRA",
"middle_name": "IND",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "16392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gold River, CA
- Center for Post Traumatic Growth
- Lisa Mary Charlebois, L.C.S.W.
- Amanda Zhan Chen, DDS
- Stephen Keith Ching, O.D.
- Colleen Clark, LCSW
- Cope Dental Gold River Inc. (The Crown Clinic)
- Corey R. Bafford, DMD, Inc. (Gold River Dentistry)
- Sparkle S Crenshaw
- Paul Ellis Cripe, D.D.S.
- D.L. Markham, DDS, MSD, Inc (Markham Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.