Active NPI
Dana K. Nielson, PHARMACIST
- Pharmacist
- Blanding, UT
National Provider Identifier
1235206459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 142481-1701
- Practice address
- 65 S Main St
Blanding, UT 84511-3742 - Phone
- (435) 678-2781
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Blanding, UT
- NPI 1205929650
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142481-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 142481-1701 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
65 S Main St
Blanding, UT 84511-3742
Mailing address
455 Cedar Cir # 42-9
Blanding, UT 84511-4026
Phone (435) 678-2525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235206459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 CEDAR CIR # 42-9",
"city": "BLANDING",
"state": "UT",
"postal_code": "845114026",
"telephone_number": "435-678-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 S MAIN ST",
"city": "BLANDING",
"state": "UT",
"postal_code": "845113742",
"telephone_number": "435-678-2781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSON",
"first_name": "DANA",
"middle_name": "K.",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "142481-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blanding, UT
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.