Active NPI
Andrew Loren Nelson, RPH
- Pharmacist
- Viroqua, WI
National Provider Identifier
1497022511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12546-40
- Practice address
- 517 N Main St
Viroqua, WI 54665-1453 - Phone
- (608) 637-8405
- Fax
- (608) 637-8484
- NPI assigned
- Nov 17, 2011
- Last updated
- Nov 17, 2011
- Sex
- Male
- 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 | 12546-40 | WI | Primary |
Addresses
Primary practice location
517 N Main St
Viroqua, WI 54665-1453
Mailing address
E8474 Lone Oak LN
PO Box 327
Viroqua, WI 54665-6634
Phone (608) 637-2784
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12546-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1497022511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E8474 LONE OAK LN",
"address_2": "PO BOX 327",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546656634",
"telephone_number": "608-637-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N MAIN ST",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546651453",
"telephone_number": "608-637-8405",
"fax_number": "608-637-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ANDREW",
"middle_name": "LOREN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12546-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.