Active NPI
Jill Marie Nelson, RPH, PHARMD
- Pharmacist
- Milton, VT
National Provider Identifier
1548095714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.135462
- Practice address
- 70 Herrick Ave
Milton, VT 05468-3039 - Phone
- (919) 630-4650
- NPI assigned
- Sep 5, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10023 | NC | |
| Pharmacist | 183500000X | 03216684 | OH | |
| Pharmacist | 183500000X | 033.135462 | VT | Primary |
Addresses
Primary practice location
70 Herrick Ave
Milton, VT 05468-3039
Mailing address
70 Herrick Ave
Milton, VT 05468-3039
Phone (919) 630-4650
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03216684 | OH | MD | Pharmacist |
| 033.135462 | VT | MD | Pharmacist |
| 10023 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1548095714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 HERRICK AVE",
"city": "MILTON",
"state": "VT",
"postal_code": "054683039",
"telephone_number": "919-630-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 HERRICK AVE",
"city": "MILTON",
"state": "VT",
"postal_code": "054683039",
"telephone_number": "919-630-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JILL",
"middle_name": "MARIE",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10023",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03216684",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.135462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.