Active NPI
Andrew D Nelson, PHARM D
- Pharmacist
- Clarkston, MI
National Provider Identifier
1285947523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037003
- Practice address
- 5838 S Main St
Clarkston, MI 48346 - Phone
- (248) 625-8030
- NPI assigned
- Jul 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302037003 | MI | Primary |
Addresses
Primary practice location
5838 S Main St
Clarkston, MI 48346
Mailing address
5838 S Main St
Clarkston, MI 48346-5201
Phone (248) 625-8030
Other practice location 1
802 W State St
Hastings, MI 49058-1659
Phone (269) 948-9411
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302037003 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkstonrx LLC | Current | Accepting new patients | |
| Clarkstonrx LLC | Current | Accepting new patients | |
| K & D Pharmacy | Current | Accepting new patients |
Locations
5838 S Main St
Clarkston, MI 48346
Phone (248) 625-8030
Organizations & group practices 3
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.
-
dba Clarkston Pharmacy
- Durable Medical Equipment & Medical Supplies
- Clarkston, MI
- NPI 1447247945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1285947523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5838 S MAIN ST",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483465201",
"telephone_number": "248-625-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5838 S MAIN ST",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "48346",
"telephone_number": "248-625-8030"
}
],
"practiceLocations": [
{
"address_1": "802 W State St",
"address_purpose": "LOCATION",
"city": "Hastings",
"state": "MI",
"postal_code": "490581659",
"country_code": "US",
"telephone_number": "269-948-9411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "ANDREW",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-15",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.