Nielsen'S City Drug Store, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.000821-IR Issued in LA

Legal business name

NIELSEN'S CITY DRUG STORE, INC

Doing business as

NIELSENS CITY DRUG

Practice address

330 Austin St
Bogalusa, LA 70427-3818

Phone

(985) 732-2562

Fax

(985) 732-3421

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Kevin NielsenNPI 1497342695

Title

Owner

Phone

(985) 732-2561

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• NIELSENS CITY DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Arnold Nielsen, RPH

  • Pharmacist
  • Bogalusa, LA
  • NPI 1497342695
  NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1295871804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 AUSTIN ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273818",
            "telephone_number": "985-732-2561",
            "fax_number": "985-732-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 AUSTIN ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273818",
            "telephone_number": "985-732-2562",
            "fax_number": "985-732-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIELSEN'S CITY DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-732-2561"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.000821-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1231398",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIELSENS CITY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Michael Newberry
• Uyen D Nguyen, MD
• Kevin Arnold Nielsen, RPH
• Sadie Nielsen, PHARMD
• Sarah Anne Nielsen
• Nielsens Pharmacy LLC
• Suzette A Nielson, LPC
• Golam Daud Noaz, M.D.
• Northland Hearing Centers, Inc.
• Northshore Charter Schools, Inc.

• Community/Retail Pharmacy in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.