Individual provider Active NPI

Connie Marie Vanorman, PHARM.D.

  • Pharmacist
  • Clarkesville, GA
National Provider Identifier
1497015580
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH20825 Issued in GA
Practice address
300 Upper Stair St
Clarkesville, GA 30523-4145
Phone
(706) 754-4125
NPI assigned
May 22, 2012
Last updated
May 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH20825 GA Primary

Addresses

Primary practice location

300 Upper Stair St
Clarkesville, GA 30523-4145

Mailing address

300 Upper Stair St
Clarkesville, GA 30523-4145
Phone (706) 754-4125

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

LicenseStateTypeSpecialty
RPH20825GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1497015580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 UPPER STAIR ST",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305234145",
            "telephone_number": "706-754-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UPPER STAIR ST",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305234145",
            "telephone_number": "706-754-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANORMAN",
        "first_name": "CONNIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH20825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.