Angela Dawn Konecki, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

7147485-1701 Issued in UT

Practice address

E Highway 262
Montezuma Creek Clinic CHC Pharmacy
Montezuma Creek, UT 84534

Phone

(435) 651-3707

Fax

(435) 651-3463

NPI assigned

Apr 2, 2009

Last updated

Apr 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1447492624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "address_2": "MONTEZUMA CREEK CLINIC CHC PHARMACY",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "845340130",
            "telephone_number": "435-651-3707",
            "fax_number": "435-651-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E HIGHWAY 262",
            "address_2": "MONTEZUMA CREEK CLINIC CHC PHARMACY",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "84534",
            "telephone_number": "435-651-3707",
            "fax_number": "435-651-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONECKI",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7147485-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Stubbs Hayes, LMFT
• Richard Lee Hendy, LCSW
• Emily Elizabeth Hunter, PHARMD
• Emilie J Johnson, APRN, FNP-C
• Kori Dawn Keylon, PA, RT
• Roselyn Maryboy, LCSW
• Casey Kent McCullough, M.D.
• Lindsey Rae McGarry, PHD
• Eugene L Meyer, RPH
• Chad Taylor Moses, PHARM. D

• Pharmacist in Montezuma Creek, UT
• Providers in Montezuma Creek, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.