Michael J Nelson
Individual provider Active NPI Pharmacist · Park Hills, MO
NPI 1275426348 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1275426348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 029149 (MO)
- Practice address
- Harps Food Stores 301 T J Stewart Drive
Park Hills, MO 63601-2500 - Phone
- (573) 431-8537
- NPI assigned
- May 29, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029149 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 029149 | MO | Yes |
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
Other providers in Park Hills, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.