Active NPI
Jennifer Ann Connelly, PHARMD, BCACP, BCGP
- Pharmacist
- Wheat Ridge, CO
National Provider Identifier
1174835110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17895
- Practice address
- 3895 Upham St
Wheat Ridge, CO 80033-4651 - Phone
- (303) 252-7990
- NPI assigned
- Jul 7, 2010
- 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 | 17895 | CO | Primary |
Addresses
Primary practice location
3895 Upham St
Wheat Ridge, CO 80033-4651
Mailing address
PO Box 745640
Arvada, CO 80006-5640
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 |
|---|---|---|---|
| 17895 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1174835110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745640",
"city": "ARVADA",
"state": "CO",
"postal_code": "800065640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3895 UPHAM ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334651",
"telephone_number": "303-252-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARMD, BCACP, BCGP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-07",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.