Organization Active NPI

Nelson Pharmacy Consulting Services, PLC

Doing business as Nelson Family Pharmacy

  • Community/Retail Pharmacy
  • Fort Madison, IA
National Provider Identifier
1417529942
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NELSON PHARMACY CONSULTING SERVICES, PLC
Doing business as
Nelson Family Pharmacy
Practice address
2404 Avenue L
Fort Madison, IA 52627-3933
Phone
(319) 372-2300
Fax
(319) 372-2357
NPI assigned
Jul 14, 2021
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Thomas E Nelson, RPHNPI 1932237112
Title
Owner/Pic
Phone
(319) 372-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2404 Avenue L
Fort Madison, IA 52627-3933

Mailing address

2404 Avenue L
Fort Madison, IA 52627-3933
Phone (319) 372-2300

Other identifiers 2

IdentifierTypeStateIssuer
IB5137OtherIAPTAN
8063570001OtherIAPTAN

Other names 1

  • Nelson Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210921003023 IA DME Supplier - Pharmacy 7719384510 Practice locations: Fort Madison, IA
O20220512000131 IA Part B Supplier - Pharmacy 7719384510 Practice locations: Fort Madison, IA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Nelson Family Pharmacy2404 Avenue L, Fort Madison, IA 52627-3933(319) 372-2300 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Nelson Pharmacy Consulting Services PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2402 Avenue L
Fort Madison, IA 52627
Phone (319) 376-2358

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1417529942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 AVENUE L",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273933",
            "telephone_number": "319-372-2300",
            "fax_number": "319-372-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 AVENUE L",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273933",
            "telephone_number": "319-372-2300",
            "fax_number": "319-372-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON PHARMACY CONSULTING SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "319-372-2300",
        "authorized_official_credential": "RPH"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "IB5137",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "8063570001",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.