Active NPI
James Connelly, PHARMD
- Oncology Pharmacist
- Portland, OR
National Provider Identifier
1811394380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- RPH-0014038
- Practice address
- 9135 SW Barnes Rd
Suite 263
Portland, OR 97225-6646 - Phone
- (503) 216-6032
- NPI assigned
- Nov 29, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 14115 | SC | |
| Oncology Pharmacist | 1835X0200X | 22457 | MD | |
| Oncology Pharmacist | 1835X0200X | PH60368429 | WA | |
| Oncology Pharmacist | 1835X0200X | RPH-0014038 | OR | Primary |
Addresses
Primary practice location
9135 SW Barnes Rd
Suite 263
Portland, OR 97225-6646
Mailing address
9135 SW Barnes Rd
Suite 263
Portland, OR 97225-6646
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 |
|---|---|---|---|
| 22457 | MD | MD | Clinical Social Worker |
| RPH-0014038 | OR | MD | Oncology Pharmacist |
| PH60368429 | WA | MD | Oncology Pharmacist |
| 14115 | SC | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1811394380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD",
"address_2": "SUITE 263",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD",
"address_2": "SUITE 263",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256646",
"telephone_number": "503-216-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-29",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "SC",
"license": "14115",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "MD",
"license": "22457",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "WA",
"license": "PH60368429",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "OR",
"license": "RPH-0014038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.