Connor Joe Fellows
NPI 1558030957ActiveIndividual· Pharmacist, Pharmacotherapy· Jackson, MI
Pharmacist, Pharmacotherapy in Jackson, Michigan, licensed in MI, with an NPI issued in September 2021.
Overview
| NPI | 1558030957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 9, 2021 |
| Last updated in NPPES | Sep 9, 2021 |
| Certified by provider | Sep 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Pharmacotherapy Primary | 1835P1200X | 5302413714 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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