Active NPI
Lynn Elton Connelly, R.PH.
- Pharmacist
- West Columbia, SC
National Provider Identifier
1982797379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5254
- Practice address
- 1300 Sunset Blvd
West Columbia, SC 29169-5914 - Phone
- (803) 791-7043
- Fax
- (803) 796-1519
- NPI assigned
- Sep 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5254 | SC | Primary |
Addresses
Primary practice location
1300 Sunset Blvd
West Columbia, SC 29169-5914
Mailing address
184 Rum Gully LN
Chapin, SC 29036-8483
Phone (803) 345-5345
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Medix LLC | Current | Accepting new patients | |
| Home Med, LTD. | Current | Accepting new patients | |
| Med Mart Weco LLC | Past | Accepting new patients | |
| Med Mart Weco LLC | Pharmacist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Oxygen Equipment & Supplies (DME)
- West Columbia, SC
- NPI 1235224338
-
- Clinic/Center
- West Columbia, SC
- NPI 1780319293
-
dba Medicine Mart of West Columbia (LTC)
- Long Term Care Pharmacy
- West Columbia, SC
- NPI 1598579443
-
dba Medicine Mart of West Columbia
- Community/Retail Pharmacy
- West Columbia, SC
- NPI 1598858987
Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1982797379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 RUM GULLY LN",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290368483",
"telephone_number": "803-345-5345",
"fax_number": "803-796-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291695914",
"telephone_number": "803-791-7043",
"fax_number": "803-796-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "LYNN",
"middle_name": "ELTON",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "5254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.