Active NPI
Mary S Connor, RPH
- Pharmacist
- Springfield, MO
National Provider Identifier
1518249218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42957
- Practice address
- 1155 E Saint Louis St
Springfield, MO 65806-2527 - Phone
- (417) 862-5302
- Fax
- (417) 862-4548
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42957 | MO | Primary |
| Pharmacist | 183500000X | 26633 | TX |
Addresses
Primary practice location
1155 E Saint Louis St
Springfield, MO 65806-2527
Mailing address
1155 E Saint Louis St
Springfield, MO 65806-2527
Phone (417) 862-5302
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42957 | MO | MD | Pharmacist |
| 26633 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1518249218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 E SAINT LOUIS ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658062527",
"telephone_number": "417-862-5302",
"fax_number": "417-862-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 E SAINT LOUIS ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658062527",
"telephone_number": "417-862-5302",
"fax_number": "417-862-4548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "MARY",
"middle_name": "S",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "42957",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "26633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.