Active NPI
Lane M Nelson, R.PH.
- Pharmacist
- Edgeley, ND
National Provider Identifier
1073811766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4951
- Practice address
- 509 Main St
Edgeley, ND 58433 - Phone
- (701) 493-2810
- Fax
- (701) 493-2856
- NPI assigned
- Mar 4, 2011
- Last updated
- Mar 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4951 | ND | Primary |
Addresses
Primary practice location
509 Main St
Edgeley, ND 58433
Mailing address
PO Box 25
Edgeley, ND 58433-0025
Phone (701) 493-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4951 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgeley Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1073811766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "EDGELEY",
"state": "ND",
"postal_code": "584330025",
"telephone_number": "701-493-2810",
"fax_number": "701-493-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MAIN ST",
"city": "EDGELEY",
"state": "ND",
"postal_code": "58433",
"telephone_number": "701-493-2810",
"fax_number": "701-493-2856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LANE",
"middle_name": "M",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgeley, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.