Theodore Connelly, RPH
Pharmacist in Northampton, Massachusetts
1104421791- Practice location
- 90 Main St, Northampton, MA 01060-3103
- Phone
- 413-584-2580
- Fax
- —
- Last updated
- December 1, 2020
Theodore Connelly is a Pharmacist based in Northampton, MA. Theodore Connelly practices in Northampton, MA and has the professional credentials of RPH. The NPI Number for Theodore Connelly is 1104421791 and holds a License No. 233199 (MA). The current practice location address for Theodore Connelly is 90 Main St, Northampton, MA 01060-3103 and can be reached out via phone at 413-584-2580.
Provider Profile Details
- NPI Number
- 1104421791
- Provider Name
- Theodore Connelly
- Credential
- RPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Main St, Northampton, MA 01060-3103
- Phone Number
- 413-584-2580
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 1, 2020
- Last Update Date
- December 1, 2020
- Certification Date
- December 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Main St
Northampton, MA 01060-3103 - City
- Northampton
- State
- Massachusetts
- Zip
- 01060-3103
- Phone Number
- 413-584-2580
Provider Business Mailing Address Details
- Address
- 90 Main St
Northampton, MA 01060-3103 - City
- Northampton
- State
- MA
- Zip
- 01060-3103
- Phone Number
- 413-584-2580
License Information
- License Number
- 233199
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Theodore Connelly, RPH?
The NPI number of Theodore Connelly, RPH is 1104421791. It was assigned on December 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Theodore Connelly, RPH?
Theodore Connelly, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number 233199.
Where does Theodore Connelly, RPH practice?
The practice location is 90 Main St, Northampton, MA 01060-3103. The office can be reached at 413-584-2580 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104421791 directly on the NPPES registry website.