Individual provider Active NPI

Stephen Connors, B.S.RPH

  • Pharmacist
  • Annapolis, MD
National Provider Identifier
1376940940
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16819 Issued in MA
Practice address
2601 Riva Rd
Annapolis, MD 21401-7304
Phone
(410) 571-2090
Fax
(410) 571-2896
NPI assigned
Nov 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16819 MA Primary

Addresses

Primary practice location

2601 Riva Rd
Annapolis, MD 21401-7304

Mailing address

2601 Riva Rd
Annapolis, MD 21401-7304
Phone (410) 571-2090

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

State licenses

LicenseStateTypeSpecialty
16819MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1376940940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017304",
            "telephone_number": "410-571-2090",
            "fax_number": "410-571-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017304",
            "telephone_number": "410-571-2090",
            "fax_number": "410-571-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "B.S.RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "16819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.