Thomas J Connelly Jr

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P00902 Issued in MD

Legal business name

THOMAS J CONNELLY JR

Practice address

1 North Queen Street
Rising Sun, MD 21911

Phone

(410) 658-6444

Fax

(410) 658-4222

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas James Connelly Jr.NPI 1255954590

Title

Owner

Phone

(410) 658-6444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sun Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas James Connelly Jr., RPH

  • Pharmacist
  • Rising Sun, MD
  • NPI 1255954590
  NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1992748636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTH QUEEN STREET",
            "address_2": "PO BOX 420",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "21911",
            "telephone_number": "410-658-6444",
            "fax_number": "410-658-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH QUEEN STREET",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "21911",
            "telephone_number": "410-658-6444",
            "fax_number": "410-658-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J CONNELLY JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-658-6444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P00902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031632600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Smithers
• Speak Life Consulting LLC
• Tara Testerman
• The Community Fire Company of Rising Sun Incorporated
• The Giant Company, LLC
• John D Thomas, PT
• Thrive Counseling & Wellness Center
• Thrive Counseling & Wellness Center
• Union Hospital of Cecil County
• Union Hospital of Cecil County

• All providers in Rising Sun, MD
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.