Individual provider Active NPI

Thomas E Nelson, RPH

  • Pharmacist
  • Fort Madison, IA
National Provider Identifier
1932237112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18793 Issued in IA
Practice address
2404 Avenue L
Fort Madison, IA 52627-3933
Phone
(319) 372-2300
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18793 IA Primary

Addresses

Primary practice location

2404 Avenue L
Fort Madison, IA 52627-3933

Mailing address

2402 Hillcrest Rd
Donnellson, IA 52625-9160
Phone (319) 835-9065

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

LicenseStateTypeSpecialty
18793IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Pharmacy Consulting Services, PLC Current Accepting new patients
Nelson Pharmacy Consulting Services, PLC Current Accepting new patients

Locations

2402 Avenue L
Fort Madison, IA 52627
Phone (319) 376-2358

2404 Avenue L
Fort Madison, IA 52627
Phone (319) 372-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932237112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 HILLCREST RD",
            "city": "DONNELLSON",
            "state": "IA",
            "postal_code": "526259160",
            "telephone_number": "319-835-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 AVENUE L",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273933",
            "telephone_number": "319-372-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Madison, IA

Sources for this page

  • 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.