Connersville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006509A Issued in IN

Legal business name

CONNERSVILLE PHARMACY LLC

Practice address

1475 E State Road 44
Connersville, IN 47331-8292

Phone

(765) 827-1934

Fax

(765) 827-1936

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Donald Schreiber

Title

Manager

Phone

(314) 965-4700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MediCenter Pharmacy Doing business as

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1750753471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473310301",
            "telephone_number": "765-827-1934",
            "fax_number": "765-827-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318292",
            "telephone_number": "765-827-1934",
            "fax_number": "765-827-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNERSVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-965-4700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006509A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediCenter Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Clark, LCSW
• Glenn Codnita
• Crystal Coker, PMHNP
• Amy Jean Collins, LCSW
• Connersville OBGYN Inc
• Connersville Surgeons Inc
• Connorsville Emergency Group PC
• Jennifer L. Counceller, NP
• Jeffrey S Coy, CNS-BC
• Creative Counseling Services

• Community/Retail Pharmacy in Connersville, IN
• Providers in Connersville, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.