Active NPI
Susan Wolf Nelson, RPH
- Pharmacist
- Fargo, ND
National Provider Identifier
1275613853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3650
- Practice address
- 301 NP Avenue
Fargo, ND 58102-4820 - Phone
- (701) 271-3690
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- 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 | 3650 | ND | Primary |
Addresses
Primary practice location
301 NP Avenue
Fargo, ND 58102-4820
Mailing address
902 42ND Ave N
Fargo, ND 58102-5310
Phone (701) 235-8790
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 |
|---|---|---|---|
| 3650 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1275613853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 42ND AVE N",
"city": "FARGO",
"state": "ND",
"postal_code": "581025310",
"telephone_number": "701-235-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 NP AVENUE",
"city": "FARGO",
"state": "ND",
"postal_code": "581024820",
"telephone_number": "701-271-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SUSAN",
"middle_name": "WOLF",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "3650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.