Active NPI
Connor John Pelzel, PHARM D
- Pharmacist
- Gainesville, TX
National Provider Identifier
1194456210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70195
- Practice address
- 1201 Olive St
Gainesville, TX 76240-3501 - Phone
- (940) 668-7384
- NPI assigned
- Jun 20, 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 | 70195 | TX | Primary |
Addresses
Primary practice location
1201 Olive St
Gainesville, TX 76240-3501
Mailing address
1201 Olive St
Gainesville, TX 76240-3501
Phone (940) 668-7384
Other practice location 1
310 Charlie Dr
Whitesboro, TX 76273-1103
Phone (903) 564-1234
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 |
|---|---|---|---|
| 70195 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiowa Pharmacy, Inc. | Current | Accepting new patients | |
| Wboro Pharmacy LTD | Past | Accepting new patients | |
| Kiowa Pharmacy, Inc. | Past | Accepting new patients |
Locations
1201 Olive St
Gainesville, TX 76240
Phone (940) 668-7384
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Gainesville, TX
- NPI 1447075643
-
- Community/Retail Pharmacy
- Gainesville, TX
- NPI 1265418792
-
- Community/Retail Pharmacy
- Whitesboro, TX
- NPI 1972589836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1194456210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 OLIVE ST",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762403501",
"telephone_number": "940-668-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 OLIVE ST",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762403501",
"telephone_number": "940-668-7384"
}
],
"practiceLocations": [
{
"address_1": "310 Charlie Dr",
"address_purpose": "LOCATION",
"city": "Whitesboro",
"state": "TX",
"postal_code": "762731103",
"country_code": "US",
"telephone_number": "903-564-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELZEL",
"first_name": "CONNOR",
"middle_name": "JOHN",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "70195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.