Active NPI
Richard Loren Nelson, R PH
- Pharmacist
- Sunnyside, WA
National Provider Identifier
1205965845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00007504
- Practice address
- 2010 Yakima Valley Hwy Ste C1
Sunnyside, WA 98944-1289 - Phone
- (509) 893-2711
- Fax
- (509) 839-4768
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00007504 | WA | Primary |
Addresses
Primary practice location
2010 Yakima Valley Hwy Ste C1
Sunnyside, WA 98944-1289
Mailing address
172702 W Byron Rd
Prosser, WA 99350-8544
Phone (509) 786-3237
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00007504 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205965845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172702 W BYRON RD",
"city": "PROSSER",
"state": "WA",
"postal_code": "993508544",
"telephone_number": "509-786-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 YAKIMA VALLEY HWY STE C1",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989441289",
"telephone_number": "509-893-2711",
"fax_number": "509-839-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RICHARD",
"middle_name": "LOREN",
"name_prefix": "Mr.",
"credential": "R PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00007504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.