Connie Collins Nietz, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-2-12717 Issued in OH

Practice address

1330 N Reynolds Rd
Toledo, OH 43615-4760

Phone

(419) 536-3840

NPI assigned

Mar 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Toledo, OH
  • NPI 1780699710
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1376120899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29240 BELMONT FARM RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513783",
            "telephone_number": "419-345-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154760",
            "telephone_number": "419-536-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETZ",
        "first_name": "CONNIE",
        "middle_name": "COLLINS",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-12717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "03-2-12717",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Nielsen, NP
• Chad E Niemann, PA
• Aaron Nieschwitz, PMHNP-BC
• Natalie Nieschwitz, MFN, RD, LD
• Diane K Niese, CNP
• David W Niezgoda
• Ursula Nigh
• Michael Raymond Nijakowski
• Melisa Nika, M.D.
• Nikki King Health & Wellness LLC

• Pharmacist in Toledo, OH
• Providers in Toledo, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.