Individual provider Active NPI

Jason P Conley, PHARMD

  • Pharmacist
  • Savannah, GA
National Provider Identifier
1356417885
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH020236 Issued in GA
Practice address
1 Skidaway Village Walk
Savannah, GA 31411-2908
Phone
(912) 598-8669
Fax
(912) 598-7208
NPI assigned
Nov 27, 2006
Last updated
Jan 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH020236 GA Primary

Addresses

Primary practice location

1 Skidaway Village Walk
Savannah, GA 31411-2908

Mailing address

1 Skidaway Village Walk
Savannah, GA 31411-2908
Phone (912) 598-8669

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

LicenseStateTypeSpecialty
RPH020236GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Skidaway Village Pharmacy Inc Current Accepting new patients
Skidaway Village Pharmacy Inc Current Accepting new patients

Locations

1 Skidaway Village Walk
Savannah, GA 31411
Phone (912) 598-8669

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1356417885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SKIDAWAY VILLAGE WALK",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112908",
            "telephone_number": "912-598-8669",
            "fax_number": "912-598-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SKIDAWAY VILLAGE WALK",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112908",
            "telephone_number": "912-598-8669",
            "fax_number": "912-598-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.