Active NPI
John P. Nelson, PHARM.D.
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1326158296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8989
- Practice address
- 650 E Indian School Rd
Pharmacy (CS/119)
Phoenix, AZ 85012-1839 - Phone
- (602) 277-5551
- Fax
- (602) 212-2072
- NPI assigned
- Aug 30, 2006
- 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 | 8989 | AZ | Primary |
Addresses
Primary practice location
650 E Indian School Rd
Pharmacy (CS/119)
Phoenix, AZ 85012-1839
Mailing address
4434 E Betty Elyse LN
Phoenix, AZ 85032-4253
Phone (602) 404-4222
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 |
|---|---|---|---|
| 8989 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1326158296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4434 E BETTY ELYSE LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324253",
"telephone_number": "602-404-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 E INDIAN SCHOOL RD",
"address_2": "PHARMACY (CS/119)",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121839",
"telephone_number": "602-277-5551",
"fax_number": "602-212-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JOHN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "8989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.