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JAN S CONNELLY MD
NPI 1033154273
Non-Pharmacy Dispensing Site in Spokane, WA

Active since June 20, 2006
5901 N MAYFAIR ST, SPOKANE, WA 99208(509) 489-3514(509) 483-2546 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jan S Connelly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN S CONNELLY MD (NPI 1033154273) is a healthcare organization registered as a non-pharmacy dispensing site in Spokane, Washington and active in the NPI registry since June 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1033154273
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSPOKANE ENT CLINIC MAYFAIR
Location Address5901 N MAYFAIR STSpokane, WA 99208-5096
Mailing Address5901 N Mayfair StSpokane, WA 99208-5096
Phone(509) 489-3514
Fax(509) 483-2546
Organization SubpartNo
Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889
Enumeration DateJune 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033154273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in WA · MD00019284
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
5901 N MAYFAIR ST, Spokane, WA 99208
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Other Names 1

Doing Business AsJan S Connelly Md

Other Identifiers 1

Other4931906Other Id Number-commercial Number

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. FOSTER VALE HALL D.D.S.
Dentist
5901 N MAYFAIR ST, #201
SPOKANE, WA 99208
Spokane County (509) 489-3791
JEFFREY J HENNEBERG, DDS
Dentist (General Practice)
5901 N MAYFAIR ST, SUITE 201
SPOKANE, WA 99208
Spokane County (509) 928-8400
IRVIN G ENGEN D.P.M.
Podiatrist
5901 N MAYFAIR ST, SUITE 202
SPOKANE, WA 99208
Spokane County (509) 482-0848

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spokane Ent Clinic Mayfair's NPI number?

The NPI number for Spokane Ent Clinic Mayfair is 1033154273. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Jan S Connelly MD.

Where is Spokane Ent Clinic Mayfair located?

Spokane Ent Clinic Mayfair is located at 5901 N Mayfair St, Spokane, WA 99208. The listed phone number is (509) 489-3514.

What is Spokane Ent Clinic Mayfair's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Spokane Ent Clinic Mayfair was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.