Active NPI
Connie Morgan Rettammel, PHARMD
- Pharmacist
- Lima, OH
National Provider Identifier
1366258584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03444364
- Practice address
- 730 W Market St
Lima, OH 45801-4602 - Phone
- (419) 227-3361
- NPI assigned
- Dec 4, 2024
- Sex
- Unspecified or another gender identity
- 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 | 03444364 | OH | Primary |
Addresses
Primary practice location
730 W Market St
Lima, OH 45801-4602
Mailing address
910 Northernview St Apt 23
Ada, OH 45810-1656
Phone (919) 802-7044
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 |
|---|---|---|---|
| 03444364 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1366258584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 NORTHERNVIEW ST APT 23",
"city": "ADA",
"state": "OH",
"postal_code": "458101656",
"telephone_number": "919-802-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W MARKET ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458014602",
"telephone_number": "419-227-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETTAMMEL",
"first_name": "CONNIE",
"middle_name": "MORGAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2024-12-04",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03444364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.