David Nelson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18921-40 Issued in WI

Practice address

939 N Wisconsin St
Elkhorn, WI 53121-4541

Phone

(262) 723-5055

Fax

(262) 723-5065

NPI assigned

Feb 20, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Elkhorn, WI
  • NPI 1487849477
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1285267997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 OSPREY LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467957",
            "telephone_number": "847-770-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 N WISCONSIN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214541",
            "telephone_number": "262-723-5055",
            "fax_number": "262-723-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAVID",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18921-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "18921-40",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramesh Muthukumar, M.D
• Kamal S Muzaffar, MD
• Narayan Naik, DDS
• Alexander Jordan Neils, PA-C
• Lynda Nelson Elmudesi, LCSW
• Carlo Jon Nevicosi, MSW, APSW
• Rugile Nichols, DO
• Janna Fe Notario-Ringwald, MD, MSC
• Anna E Novotny
• Anna Nusbaum, MD

• Pharmacist in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.