Nelson Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054000044 Issued in IL

Legal business name

NELSON DRUG STORE

Practice address

918 N Main St
Princeton, IL 61356-1335

Phone

(815) 875-4415

Fax

(815) 875-4321

NPI assigned

Oct 5, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Eugene Nelson, PHARMACIST

Title

Owner/Pharmacist

Phone

(815) 875-4415

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1073822326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 N MAIN ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561335",
            "telephone_number": "815-875-4415",
            "fax_number": "815-875-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 N MAIN ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561335",
            "telephone_number": "815-875-4415",
            "fax_number": "815-875-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "815-875-4415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054000044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason A Monroe, DDS
• Pedro Javier Monzon, D.D.S.
• Michelle Lee Mortensen, MT-BC, NMT
• Mr & Mrs Robert Adler
• Margaret M Murphey, LCPC
• Shelly L Nelson, MS, CCC-SLP/L
• Karen S Nenne, APN/FNP
• New Directions Counseling Center
• New Directions Counseling Center
• North Central Behavioral Health Systems Inc.

• All providers in Princeton, IL
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.