Active NPI
Zachary Nelson, PHARMD
- Pharmacist
- Creve Coeur, MO
National Provider Identifier
1225791429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2018031241
- Practice address
- 11560 Olive Blvd
Creve Coeur, MO 63141-7111 - Phone
- (314) 995-7128
- NPI assigned
- Oct 15, 2021
- Last updated
- Oct 15, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2018031241 | MO | Primary |
Addresses
Primary practice location
11560 Olive Blvd
Creve Coeur, MO 63141-7111
Mailing address
11560 Olive Blvd
Creve Coeur, MO 63141-7111
Phone (314) 995-7128
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 |
|---|---|---|---|
| 2018031241 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1225791429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11560 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417111",
"telephone_number": "314-995-7128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11560 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417111",
"telephone_number": "314-995-7128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2018031241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
- Lilah Ann Myover, DPT
- Nadim Toufic Nasrallah, M.S., D.C
- National Pedorthic Services, Inc.
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Kassidy Neeley, PLBA
- Nephrology and Hypertension Specialists, LLC
- New Ballas OB/GYN, Inc
- New Beginnings Counseling, Inc
- New Beginnings Health Care Services LLC (New Beginnings CDS)
- New Day Healthcare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.