Kevin Arnold Nielsen, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

14887 Issued in LA

Practice address

330 Austin St
Bogalusa, LA 70427-3818

Phone

(985) 732-2562

Fax

(985) 732-3421

NPI assigned

Dec 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nielsen'S City Drug Store, Inc

  • Community/Retail Pharmacy
  • Bogalusa, LA
  • NPI 1295871804
  NPD Authorized official

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1497342695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 AUSTIN ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273818",
            "telephone_number": "985-732-2562",
            "fax_number": "985-732-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 AUSTIN ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273818",
            "telephone_number": "985-732-2562",
            "fax_number": "985-732-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "KEVIN",
        "middle_name": "ARNOLD",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "14887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Frances Nevers, LCSW
• New Beginnings Personal Care Services LLC
• New Orleans Vamc
• Drew Michael Newberry
• Uyen D Nguyen, MD
• Sadie Nielsen, PHARMD
• Sarah Anne Nielsen
• Nielsen'S City Drug Store, Inc
• Nielsens Pharmacy LLC
• Suzette A Nielson, LPC

• Pharmacist in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.