Nielson Family Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NIELSON FAMILY PHARMACY CORP

Doing business as

The Medicine Center

Practice address

2036 E 6200 S
Salt Lake City, UT 84121-2268

Phone

(801) 278-2101

Fax

(801) 278-2015

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Lee Nielson

Title

Owner

Phone

(801) 278-2101

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• THE MEDICINE CENTER Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1174638118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 E 6200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 E 6200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212268",
            "telephone_number": "801-278-2101",
            "fax_number": "801-278-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIELSON FAMILY PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-278-2101"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "55239031703",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4607947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• R. Blake Nielsen, D.M.D
• Robert Orville Nielsen, M.D.
• Spencer Blake Nielsen, DDS
• Thomas Nielsen
• Vanessa B Nielsen, PHARMD
• Allyson Elise Nielson, MA
• Amanda K Nielson, MD
• Amber Autumn Dawn Nielson
• Bradford Nielson
• Bryce E Nielson

• Community/Retail Pharmacy in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.