Active NPI
Todd Marc Conner, PHARMD, BCPS, BCEMP
- Emergency Medicine Pharmacist
- New Haven, CT
National Provider Identifier
1265956726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Pharmacist
- License
- PCT.0015438
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-1111
- NPI assigned
- Jul 26, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR69639 | ME | |
| Pharmacist | 183500000X | P8453 | ID | |
| Pharmacotherapy Pharmacist | 1835P1200X | PCT.0015438 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | PI45593 | ME | |
| Emergency Medicine Pharmacist | 1835E0208X | PCT.0015438 | CT | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
20 York St
New Haven, CT 06510-3220
Phone (203) 688-1111
Other practice location 1
1 College Circle
Bangor, ME 04401
Phone (207) 941-7163
Other practice location 2
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone (208) 814-1000
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 |
|---|---|---|---|
| P8453 | ID | MD | Pharmacist |
| PR69639 | ME | MD | Pharmacist |
| PCT.0015438 | CT | MD | Medical license number |
| PI45593 | ME | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1265956726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-1111"
}
],
"practiceLocations": [
{
"address_1": "1 College Circle",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "04401",
"country_code": "US",
"telephone_number": "207-941-7163",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Pole Line Rd W",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833015810",
"country_code": "US",
"telephone_number": "208-814-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNER",
"first_name": "TODD",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS, BCEMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-26",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR69639",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8453",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CT",
"license": "PCT.0015438",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ME",
"license": "PI45593",
"primary": false
},
{
"code": "1835E0208X",
"taxonomy_group": "",
"desc": "Pharmacist, Emergency Medicine",
"state": "CT",
"license": "PCT.0015438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.