Active NPI
O Connell Pharmacy LTD
- Community/Retail Pharmacy
- Sun Prairie, WI
National Provider Identifier
1457319345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- O CONNELL PHARMACY LTD
- Practice address
- 302 S Grand Ave
Sun Prairie, WI 53590 - Phone
- (608) 837-5949
- Fax
- (608) 825-3253
- NPI assigned
- May 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle O'Connell
- Title
- Owner
- Phone
- (608) 837-5949
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
302 S Grand Ave
Sun Prairie, WI 53590
Mailing address
302 S Grand Ave
Sun Prairie, WI 53590
Phone (608) 837-5949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5118220 | Other | NCPDP | |
| 33065000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061004000390 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7810993425 | Practice locations: Sun Prairie, WI |
| O20100930088007 | WI | DME Supplier - Pharmacy | 7810993425 | Practice locations: Sun Prairie, WI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba O'Connell Pharmacy Long Term Care
- Long Term Care Pharmacy
- Sun Prairie, WI
- NPI 1063781920
7810993425
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Oconnell Pharmacy LTD | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sun Prairie, WI
- NPI 1225673403
-
- Pharmacy Technician
- Sun Prairie, WI
- NPI 1184430167
-
- Pharmacist
- Sun Prairie, WI
- NPI 1841614641
-
- Pharmacist
- Sun Prairie, WI
- NPI 1033655410
-
- Pharmacist
- Sun Prairie, WI
- NPI 1346588241
-
- Pharmacist
- Sun Prairie, WI
- NPI 1275932410
-
- Pharmacist
- Sun Prairie, WI
- NPI 1811779937
-
- Pharmacist
- Sun Prairie, WI
- NPI 1538774286
-
- Pharmacist
- Sun Prairie, WI
- NPI 1285972273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1457319345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 S GRAND AVE",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "53590",
"telephone_number": "608-837-5949",
"fax_number": "608-825-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S GRAND AVE",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "53590",
"telephone_number": "608-837-5949",
"fax_number": "608-825-3253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O CONNELL PHARMACY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "O'CONNELL",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-837-5949"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5118220",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33065000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.