Michael Conenna

Primary specialty

PharmacistTaxonomy code 183500000X

License

067504 Issued in NY

Practice address

7605 13TH Ave
Brooklyn, NY 11228-2411

Phone

(718) 331-4300

NPI assigned

Mar 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 86TH Street Community Pharmacy Corp.

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1093732513

  Pharmacist

  NPD (past)

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1982299442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281611",
            "telephone_number": "347-338-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282411",
            "telephone_number": "718-331-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2789 86th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112234433",
            "country_code": "US",
            "telephone_number": "718-266-2137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONENNA",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karime Wayne Condison, PT
• Sean Condon, PH.D.
• Bridget Condron, LMSW
• Nolan Blau Condron, MD
• Jean Lowry Conelli, RN
• Coney Island CDT
• Coney Island Chemist Inc
• Coney Island Dental P.C.
• Coney Island Family Eyecare
• Coney Island Health Services, Inc.

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.