OrganizationActiveAccepts Medicare

Thomas J Connelly Jr

NPI 1992748636 · Community/Retail Pharmacy · Rising Sun, MD

Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1992748636
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Thomas Connelly, Owner(410) 658-6444
License: P00902 (MD)

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense P00902 (MD)
Suppliers

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
20 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
23 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Administration of Influenza Virus VaccineG0008	23	$32

Typical Medicare-allowed amounts for these services range $32–$32 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

1 North Queen Street

Rising Sun, MD 21911

Phone: (410) 658-6444

Fax: (410) 658-4222

Street-level locationGet directions

More MD providers

Mailing address