Active NPI
Michael J Nelson
- Pharmacist
- Park Hills, MO
National Provider Identifier
1275426348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029149
- Practice address
- Harps Food Stores 301 T J Stewart Drive
Park Hills, MO 63601-2500 - Phone
- (573) 431-8537
- NPI assigned
- May 29, 2025
- Last updated
- May 29, 2025
- 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 | 029149 | MO | Primary |
Addresses
Primary practice location
Harps Food Stores 301 T J Stewart Drive
Park Hills, MO 63601-2500
Mailing address
14478 Top Ozark Rd
Belgrade, MO 63622-9287
Phone (573) 208-3577
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 |
|---|---|---|---|
| 029149 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1275426348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14478 TOP OZARK RD",
"city": "BELGRADE",
"state": "MO",
"postal_code": "636229287",
"telephone_number": "573-208-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HARPS FOOD STORES 301 T J STEWART DRIVE",
"city": "PARK HILLS",
"state": "MO",
"postal_code": "636012500",
"telephone_number": "573-431-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MICHAEL",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "029149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Hills, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.