Active NPI
Roger W Conely, RPH
- Pharmacist
- Mesa, AZ
National Provider Identifier
1962722249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8591
- Practice address
- 2024 W Main St
Mesa, AZ 85201-6802 - Phone
- (480) 214-0374
- Fax
- (480) 214-0377
- NPI assigned
- Jun 9, 2010
- Last updated
- Jun 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8591 | AZ | Primary |
| Pharmacist | 183500000X | 15208 | CO |
Addresses
Primary practice location
2024 W Main St
Mesa, AZ 85201-6802
Mailing address
2024 W Main St
Mesa, AZ 85201-6802
Phone (480) 214-0374
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8591 | AZ | MD | Pharmacist |
| 15208 | CO | MD | Doula |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1962722249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 W MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852016802",
"telephone_number": "480-214-0374",
"fax_number": "480-214-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 W MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852016802",
"telephone_number": "480-214-0374",
"fax_number": "480-214-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONELY",
"first_name": "ROGER",
"middle_name": "W",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "8591",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "15208",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Concentra Primary Care of Arizona PA (Hatfield Family Medicine)
- Concentra Primary Care of Arizona, PA (Mesa Family Medical Center)
- Concierge Anesthesia Services, PLLC
- Concordia Oncology, PC
- Elis Raquel Conejo, DPT
- Rachel Lynn Conforti, PHARM.D.
- Alysia Marie Conley, MD
- Marie Nicole Conn, NP-C
- Connect Hearing, Inc.
- Charles Connell, D.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.