Active NPI
Steven Kirk Nelson, RPH
- Pharmacist
- Ontario, OR
National Provider Identifier
1992960132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0008452-P
- Practice address
- 2283 SW 4TH Ave
Ontario, OR 97914-1849 - Phone
- (541) 889-2188
- NPI assigned
- Jul 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH-0008452-P | OR | Primary |
Addresses
Primary practice location
2283 SW 4TH Ave
Ontario, OR 97914-1849
Mailing address
1813 Graham Blvd
Vale, OR 97918-5351
Phone (541) 473-2930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH0008452-P | Other | OR | OREGON BOARD OF PHARMACY LICENSE |
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 |
|---|---|---|---|
| RPH-0008452-P | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1992960132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 GRAHAM BLVD",
"city": "VALE",
"state": "OR",
"postal_code": "979185351",
"telephone_number": "541-473-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2283 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979141849",
"telephone_number": "541-889-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "STEVEN",
"middle_name": "KIRK",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-28",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0008452-P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF PHARMACY LICENSE",
"identifier": "RPH0008452-P",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.