Ronald Edward Nelson

Primary specialty

PharmacistTaxonomy code 183500000X

License

P4485 Issued in ID

Practice address

121 W Neider Ave
Coeur D Alene, ID 83815-9300

Phone

(208) 765-4410

NPI assigned

Oct 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safeway Inc

  • Community/Retail Pharmacy
  • Coeur D Alene, ID
  • NPI 1164468781
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1205136918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W NEIDER AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159300",
            "telephone_number": "208-765-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W NEIDER AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159300",
            "telephone_number": "208-765-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P4485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lee Nelson, L.P.C.
• Esther Nelson
• Jeremy Parker Nelson, DDS
• Kelly M Nelson, DO
• Mandy Nelson, OTR/L
• Sherri Nelson, LMT
• Neil L Nemec, M.D.
• Rolf A. Nesse, M.D.
• Nicole Marie Nestor-Gray, M.A., LMFT
• Megan Netting

• Pharmacist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.