Active NPI
Kenneth Connelly, RPH
- Compounded Sterile Preparations Pharmacist
- Richmond Hill, NY
National Provider Identifier
1891620100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounded Sterile Preparations Pharmacist
- License
- 042439-01
- Practice address
- 8900 Van Wyck Expy
Richmond Hill, NY 11418-2897 - Phone
- (718) 206-6000
- NPI assigned
- Jun 17, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 042439-01 | NY | Primary |
Addresses
Primary practice location
8900 Van Wyck Expy
Richmond Hill, NY 11418-2897
Mailing address
8900 Van Wyck Expy
Richmond Hill, NY 11418-2897
Phone (718) 206-6000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1891620100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182897",
"telephone_number": "718-206-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182897",
"telephone_number": "718-206-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "KENNETH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-17",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "NY",
"license": "042439-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.