Individual provider Active NPI

Conner Burnham, PHARM D.

  • Pharmacist
  • Cullman, AL
National Provider Identifier
1700613569
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23731 Issued in AL
Practice address
1824 Main Ave SW
Cullman, AL 35055-5253
Phone
(256) 739-0095
NPI assigned
Sep 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23731 AL Primary

Addresses

Primary practice location

1824 Main Ave SW
Cullman, AL 35055-5253

Mailing address

45 County Road 1160
Cullman, AL 35057-5267
Phone (256) 595-4893

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
23731ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
VCM Pharmacy Operations LLC CurrentSince Sep 23, 2024 Accepting new patients
Econo Med Inc. PastSince Sep 23, 2024 Accepting new patients

Locations

1824 Main Ave SW
Cullman, AL 35055
Phone (256) 739-0095

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1700613569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COUNTY ROAD 1160",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350575267",
            "telephone_number": "256-595-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555253",
            "telephone_number": "256-739-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "CONNER",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "23731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.