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1265956726 NPI number — TODD MARC CONNER PHARMD, BCPS, BCEMP

NPI Number: 1265956726
Health Care Provider/Practitioner: TODD MARC CONNER PHARMD, BCPS, BCEMP

Information about “1265956726” NPI (TODD MARC CONNER PHARMD, BCPS, BCEMP) exists in 1265956726 in HTML format HTML  |  1265956726 in plain Text format TXT  |  1265956726 in PDF (Portable Document Format) PDF  |  1265956726 in an XML format XML  formats.

NPI Number : 1265956726 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265956726",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONNER",
    "FirstName": "TODD",
    "MiddleName": "MARC",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD, BCPS, BCEMP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20 YORK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW HAVEN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06510-3220",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-688-1111",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20 YORK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW HAVEN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06510-3220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-688-1111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/26/2017",
    "LastUpdateDate": "01/25/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PR69639",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "P8453",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1835P1200X",
          "TaxonomyName": "Pharmacotherapy Pharmacist",
          "LicenseNumber": "PCT.0015438",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": "PI45593",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1835E0208X",
          "TaxonomyName": "Emergency Medicine Pharmacist",
          "LicenseNumber": "PCT.0015438",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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