Active NPI
Joanne Ellen O'Connor, PHARMD
- Pharmacist
- Merrillville, IN
National Provider Identifier
1790066207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26028103A
- Practice address
- 10 E 81St Ave
Merrillville, IN 46410-5550 - Phone
- (219) 769-0013
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS43311 | FL | |
| Pharmacist | 183500000X | 051-292075 | IL | |
| Pharmacist | 183500000X | PH60330390 | WA | |
| Pharmacist | 183500000X | 26028103A | IN | Primary |
Addresses
Primary practice location
10 E 81St Ave
Merrillville, IN 46410-5550
Mailing address
10 E 81St Ave
Merrillville, IN 46410-5550
Phone (219) 769-0013
Other practice location 1
4090 Guide Meridian
Bellingham, WA 98226-5517
Phone (360) 734-0229
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS43311 | FL | MD | Pharmacist |
| 051-292075 | IL | MD | Pharmacist |
| 26028103A | IN | MD | Pharmacist |
| PH60330390 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Hook-Superx LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pharmacy
- Merrillville, IN
- NPI 1497104798
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Bellingham, WA
- NPI 1831104801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1790066207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E 81ST AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105550",
"telephone_number": "219-769-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E 81ST AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105550",
"telephone_number": "219-769-0013"
}
],
"practiceLocations": [
{
"address_1": "4090 Guide Meridian",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982265517",
"country_code": "US",
"telephone_number": "360-734-0229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "JOANNE",
"middle_name": "ELLEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43311",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-292075",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60330390",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26028103A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.