Phillip L Nelson, RPH

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

Practice address

3001 Green Bay Rd
119
North Chicago, IL 60064-3048

Phone

(847) 688-1900

Fax

(224) 610-2958

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740291046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 W FITCH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453004",
            "telephone_number": "773-764-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD",
            "address_2": "119",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "847-688-1900",
            "fax_number": "224-610-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PHILLIP",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Mumtaz Ali Naqvi, M.D.
• Mary E Nash-Powell, LCSW
• Martha Raluca Neagu Aristide, M.D.,PH.D.
• Cristina Maria Nedelcu
• John A Neher, PSY.D.
• Scott Edward Nelson, M.D.
• Reed Neuman, LCSW
• Catherine CHI Nguyen
• Michelle Nguyen, PHARMD
• Truong Ni Thi Nguyen

• Pharmacotherapy Pharmacist in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Pharmacotherapy Pharmacist in Illinois

• 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.

Verify at the official NPI Registry.