Active NPI
Darell Dent Connor
- Pharmacist
- Puyallup, WA
National Provider Identifier
1619831518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH70028212
- Practice address
- 11406 128TH Street CT E
Puyallup, WA 98374-3105 - Phone
- (253) 448-9085
- NPI assigned
- Dec 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH70028212 | WA | Primary |
Addresses
Primary practice location
11406 128TH Street CT E
Puyallup, WA 98374-3105
Mailing address
11406 128TH Street CT E
Puyallup, WA 98374-3105
Phone (253) 448-9085
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH70028212 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1619831518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11406 128TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983743105",
"telephone_number": "253-448-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11406 128TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983743105",
"telephone_number": "253-448-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "DARELL",
"middle_name": "DENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-15",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH70028212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.