Active NPI
Nelson Nudd, PHARMD
- Ambulatory Care Pharmacist
- Minneapolis, MN
National Provider Identifier
1124637145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 122129
- Practice address
- 4104 Zenith Ave S
Minneapolis, MN 55410-1156 - Phone
- (612) 483-5655
- NPI assigned
- Jul 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 122129 | MN | Primary |
Addresses
Primary practice location
4104 Zenith Ave S
Minneapolis, MN 55410-1156
Mailing address
4104 Zenith Ave S
Minneapolis, MN 55410-1156
Phone (612) 483-5655
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122129 | MN | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595721600000",
"number": "1124637145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4104 ZENITH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101156",
"telephone_number": "612-483-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4104 ZENITH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101156",
"telephone_number": "612-483-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUDD",
"first_name": "NELSON",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-26",
"last_updated": "2020-07-26",
"certification_date": "2020-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MN",
"license": "122129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.