Active NPI
Christine Marie Connell, CPHT
- Pharmacy Technician
- Wildwood, FL
National Provider Identifier
1144530080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- RPT 430
- Practice address
- 440 W Gulf Atlantic Hwy
Wildwood, FL 34785-7301 - Phone
- (352) 330-4124
- NPI assigned
- Oct 13, 2010
- Last updated
- Oct 13, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | RPT 430 | FL | Primary |
Addresses
Primary practice location
440 W Gulf Atlantic Hwy
Wildwood, FL 34785-7301
Mailing address
10367 E Roo LN
PO Box 651
Floral City, FL 34436-2957
Phone (352) 727-0382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPT 430 | Other | FL | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPT 430 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1144530080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10367 E ROO LN",
"address_2": "PO BOX 651",
"city": "FLORAL CITY",
"state": "FL",
"postal_code": "344362957",
"telephone_number": "352-727-0382",
"fax_number": "352-330-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 W GULF ATLANTIC HWY",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347857301",
"telephone_number": "352-330-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT 430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RPT 430",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, FL
- City of Hope International, Inc. (House of Hope of Florida)
- Jessica Cline
- Comfortable Care Dental Health Professionals, P.a. (Trailwinds Dental Care)
- Comfortable Care Dental Health Professionals, P.a. (The Crossroads Dental CarE)
- Compass DPT, LLC (FYZICAL The Villages)
- Santiago Corrales Delgado I
- CR 125, LLC (Generations Senior Living at The Fairways)
- Tracy M. Creel, PA-C
- Ana Cristina Cruz, DC
- Angelo Anthony Darby, H.A.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.