Active NPI
Angela Nelson, PHARMD
- Pharmacist
- Pine Ridge, SD
National Provider Identifier
1467597328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11138
- Practice address
- East Hwy 18
Pine Ridge, SD 57770-1201 - Phone
- (605) 867-3048
- Fax
- (605) 867-3279
- NPI assigned
- Feb 20, 2007
- 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 | 11138 | NE | Primary |
Addresses
Primary practice location
East Hwy 18
Pine Ridge, SD 57770-1201
Mailing address
206 E 10TH St
Gordon, NE 69343-1110
Phone (308) 282-1291
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 |
|---|---|---|---|
| 11138 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467597328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E 10TH ST",
"city": "GORDON",
"state": "NE",
"postal_code": "693431110",
"telephone_number": "308-282-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EAST HWY 18",
"city": "PINE RIDGE",
"state": "SD",
"postal_code": "577701201",
"telephone_number": "605-867-3048",
"fax_number": "605-867-3279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ANGELA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Ridge, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.