Connor Joe Fellows

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

5302413714 Issued in MI

Practice address

2777 Airport Rd
Jackson, MI 49202-1239

Phone

(517) 783-0010

NPI assigned

Sep 9, 2021

Sex

Male

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

State licenses

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1558030957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4779 CARBARY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 AIRPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021239",
            "telephone_number": "517-783-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "CONNOR",
        "middle_name": "JOE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302413714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Therese Fedewa, DO
• Steven Fehrenbach, FNP-C
• Anne Feinman, MOT, OTR/L
• Benjamin Feldpausch
• Megan Felisky
• Amanda Felty
• Thomas D Fenton, RPH
• Daniel Robert Fermaglich, MD
• Ferris Optical Corp
• Jan Richard Ferris, OD

• Pharmacotherapy Pharmacist in Jackson, MI
• Providers in Jackson, MI by specialty
• Pharmacotherapy Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.