Active NPI
John Nielsen, RPH
- Pharmacist
- Spokane, WA
National Provider Identifier
1508520297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T-100465
- Practice address
- 5633 N Lidgerwood St
Spokane, WA 99208-1224 - Phone
- (509) 482-2262
- NPI assigned
- Oct 28, 2021
- 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 | T-100465 | MS | Primary |
Addresses
Primary practice location
5633 N Lidgerwood St
Spokane, WA 99208-1224
Mailing address
1814 S Dearborn St
Spokane, WA 99223-1064
Phone (509) 954-3270
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 |
|---|---|---|---|
| T-100465 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1508520297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 S DEARBORN ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992231064",
"telephone_number": "509-954-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 N LIDGERWOOD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992081224",
"telephone_number": "509-482-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "JOHN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-100465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.