Connie Man, PHARM.D.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

57708 Issued in CA

Practice address

6170 Thornton Ave Ste E
Newark, CA 94560-3700

Phone

(510) 961-1288

NPI assigned

Sep 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tomin Basrai, Inc.

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1013949502
  NPD

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1598048621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 THORNTON AVE STE E",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603700",
            "telephone_number": "510-961-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 THORNTON AVE STE E",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603700",
            "telephone_number": "510-961-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAN",
        "first_name": "CONNIE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "68608",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "57708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Madrigal
• Barbara Maestas
• Han Gia Mai
• Melissa Monique Maldonado
• Elizabeth Ann Maloney
• Mangat Chiropractic Corporation
• Jamil Rigor Mangondato, DMD
• Manu Sharma DMD Inc.
• Omar Saif Mapara, M.D.
• Annette Margoschis

• Community/Retail Pharmacy in Newark, CA
• Providers in Newark, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.