PHILLIP M CONNELLY (NPI# 1578684338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578684338 |
| Entity Type | Individual |
| Full Name | PHILLIP M CONNELLY |
| Credential | RPH |
| Practice Address |
703 W Spring St Monroe GA 30655-1789 |
| Mailing Address |
Po Box 681 Monroe GA 30655-0681 |
| Practice Telephone | 7702678383 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH012122 | GA | Pharmacy Service Providers |
| Street Address |
703 W SPRING ST |
| City | MONROE |
| State | GA |
| Zip Code | 30655-1789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413800 | Christopher Thomas Ondo | Pharmacist | 703 W Spring St, Monroe, GA 30655-1789 | 2017-08-21 |
| 1245756642 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 703 W Spring St, Monroe, GA 30655-1789 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346189 | Irene Ghali | Pharmacist | 38 Twin Lakes Rd, Monroe, NY 10950-2646 | 2020-04-30 |
| 1366086209 | Robert Lay | Pharmacist | 122 Saint John St, Monroe, LA 71201-7370 | 2019-11-04 |
| 1750934949 | Sara Fitzpatrick Pittman | Pharmacist | 150 Mlk Jr Blvd, Monroe, GA 30655-5620 | 2019-07-17 |
| 1609333525 | Trudy Anthony Kelly | Pharmacist | 150 Mlk Jr. Blvd, 150 Mlk Jr Blvd, Monroe, GA 30655-0965 | 2019-02-27 |
| 1003396060 | Penny Jean Gehrs Nerderman | Pharmacist | 11 Ridge Wood Dr, Monroe, OH 45050-1090 | 2018-08-20 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1366945040 | Charles Kevin Early | Pharmacist | 21 Jay Ln, Monroe, CT 06468-2102 | 2018-03-09 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1154877272 | Chaston Ransom | Pharmacist | 540 Green St, Monroe, GA 30655-1849 | 2016-08-29 |
| 1891249918 | Merriam Rafla | Pharmacist | 7 Lamplight Village Rd Apt C, Monroe, NY 10950-4204 | 2016-08-05 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.