Active NPI
Kathleen Marie Nelson, R.PH
- Pharmacist
- Casselton, ND
National Provider Identifier
1902116734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4278
- Practice address
- 622 Front St
Casselton, ND 58012-3300 - Phone
- (701) 347-4281
- Fax
- (701) 347-5275
- NPI assigned
- Oct 14, 2010
- Last updated
- Oct 14, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4278 | ND | Primary |
Addresses
Primary practice location
622 Front St
Casselton, ND 58012-3300
Mailing address
PO Box 250
Casselton, ND 58012-0250
Phone (701) 347-4281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4278 | Other | ND | ND STATE BOARD OF PHARMACY LIC NUMBER |
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 |
|---|---|---|---|
| 4278 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casselton Drug Inc. | Current | Accepting new patients | |
| Casselton Drug Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Casselton Health Mart Drug
- Community/Retail Pharmacy
- Casselton, ND
- NPI 1730177510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1902116734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "CASSELTON",
"state": "ND",
"postal_code": "580120250",
"telephone_number": "701-347-4281",
"fax_number": "701-347-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 FRONT ST",
"city": "CASSELTON",
"state": "ND",
"postal_code": "580123300",
"telephone_number": "701-347-4281",
"fax_number": "701-347-5275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-14",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND STATE BOARD OF PHARMACY LIC NUMBER",
"identifier": "4278",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casselton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.