Todd Paul Nelson, RPH
Individual provider Active NPI Pharmacist · Foley, MN
NPI 1851046205 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1851046205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 117125 (MN)
- Practice address
- 161 Glen Street
Foley, MN 56329 - Phone
- (320) 968-8625
- Fax
- (320) 968-4055
- NPI assigned
- Feb 15, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117125 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 117125 | MN | Yes |
Addresses
Primary practice location
161 Glen Street
Foley, MN 56329
Mailing address
1010 Hillside Rd
Sauk Rapids, MN 56379-2577
Phone (320) 339-1481
Other providers in Foley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.