Active NPI
Shari L Nelson
- Pharmacist
- Cottage Grove, WI
National Provider Identifier
1447841986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11544-40
- Practice address
- 605 W Cottage Grove Rd
Cottage Grove, WI 53527-9222 - Phone
- (608) 839-3704
- NPI assigned
- Jan 28, 2021
- Last updated
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 11544-40 | WI | Primary |
Addresses
Primary practice location
605 W Cottage Grove Rd
Cottage Grove, WI 53527-9222
Mailing address
605 W Cottage Grove Rd
Cottage Grove, WI 53527-9222
Phone (608) 839-3704
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11544-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients | |
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1447841986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 W COTTAGE GROVE RD",
"city": "COTTAGE GROVE",
"state": "WI",
"postal_code": "535279222",
"telephone_number": "608-839-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W COTTAGE GROVE RD",
"city": "COTTAGE GROVE",
"state": "WI",
"postal_code": "535279222",
"telephone_number": "608-839-3704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SHARI",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11544-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottage Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.