Active NPI
Ronald David Nelson, PHARM.D., BCPP
- Psychiatric Pharmacist
- Viera, FL
National Provider Identifier
1205821808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- PH00040757
- Practice address
- 2900 Veterans Way
Viera, FL 32940-8007 - Phone
- (321) 637-3788
- Fax
- (321) 637-3570
- NPI assigned
- Sep 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | PH00040757 | WA | Primary |
| Psychiatric Pharmacist | 1835P1300X | 1163603 | MN |
Addresses
Primary practice location
2900 Veterans Way
Viera, FL 32940-8007
Mailing address
9 S Palmway Ave
Rockledge, FL 32955-2841
Phone (206) 850-6380
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 |
|---|---|---|---|
| 1163603 | MN | MD | Psychiatric Pharmacist |
| PH00040757 | WA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1205821808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 S PALMWAY AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552841",
"telephone_number": "206-850-6380",
"fax_number": "321-637-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 VETERANS WAY",
"city": "VIERA",
"state": "FL",
"postal_code": "329408007",
"telephone_number": "321-637-3788",
"fax_number": "321-637-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RONALD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHARM.D., BCPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "WA",
"license": "PH00040757",
"primary": true
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "MN",
"license": "1163603",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.