JACOB C NELSON (NPI# 1396186151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396186151 |
| Entity Type | Individual |
| Full Name | JACOB C NELSON |
| Credential | PHARMD |
| Practice Address |
441 Arrowhead Ln Moose Lake MN 55767-7702 |
| Mailing Address |
Po Box 719 Moose Lake MN 55767-0719 |
| Practice Telephone | 2184854401 |
| Practice Fax Number | 2184858774 |
| Mailing Telephone | 2184854401 |
| Mailing Fax Number | 2184858774 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 120004 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275037632 | Jacob Dillon Nelson | Student in an Organized Health Care Education/Training Program | 101 Manning Drive W2107 Old Clinic, Chapel Hill, NC 27599-4607 | 2018-03-21 |
| 1366756009 | Jacob Isreal Nelson | Behavioral Analyst | 6627 Belle Shadow Ln, Tampa, FL 33634-4263 | 2010-08-05 |
| 1568920882 | Jacob Henry Nelson | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2019-03-05 |
| 1154800753 | Jacob Nelson | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2018-08-14 |
| 1598266801 | Jacob I Nelson | Obstetrics & Gynecology | 5131 Beacon Hill Rd Ste 340, Columbus, OH 43228-4442 | 2018-02-22 |
| 1154842136 | Jacob E Nelson | Physical Therapist | 6699 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2017-06-29 |
| 1144675679 | Jacob Nelson | Pediatrics | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2016-05-03 |
| 1831517960 | Jacob Nelson | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-04-05 |
| 1104267780 | Jacob H Nelson | Podiatrist | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2013-07-11 |
| 1487938833 | Jacob Butler Nelson | Physician Assistant | 7331 College Pkwy Ste 300, Fort Myers, FL 33907-5524 | 2011-10-04 |
| Street Address |
441 ARROWHEAD LN |
| City | MOOSE LAKE |
| State | MN |
| Zip Code | 55767-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778529 | Essentia Health Moose Lake | Home Health | 30 Arrowhead Ln, Moose Lake, MN 55767 | 2020-04-09 |
| 1841775475 | Katherine Mcdowell | Social Worker | 451 Arrowhead Lane, Moose Lake, MN 55767 | 2018-09-28 |
| 1316191786 | Vision Pro | Optometrist | 125 W Arrowhead Rd, Moose Lake, MN 55767 | 2008-11-11 |
| 1265627327 | Dr. Joseph J. Jamros Optometry, Ltd. | Optometrist | 312 Elm Ave., Moose Lake, MN 55767 | 2007-09-12 |
| 1013108075 | Diane Louise Stellrecht | Psychologist | 505 3rd Street, Suite A, Moose Lake, MN 55767 | 2007-08-06 |
| 1073674529 | Downtown Dental Care Pa | Dentist | 304 Elm Ave, Moose Lake, MN 55767 | 2006-12-12 |
| 1760558399 | Joseph John Jamros | Optometrist | 312 Elm Ave, Moose Lake, MN 55767 | 2006-11-27 |
| 1205909991 | Msocs-moose Lake | Intermediate Care Facility, Mentally Retarded | 305 4th St, Moose Lake, MN 55767 | 2006-11-17 |
| 1295804482 | Moose Lake Community Hospital District | Home Health | 30 Arrowhead Lane, Moose Lake, MN 55767 | 2006-11-06 |
| 1396770772 | Sonja M. Roach | Nurse Practitioner | 4570 County Highway 61, Moose Lake, MN 55767 | 2006-07-12 |
| Find all providers in zip 55767 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099273 | Teresa Hornby | Pharmacist | 60 Arrowhead Ln, Moose Lake, MN 55767-9453 | 2020-03-24 |
| 1619316031 | Kathleen Marie Madden | Pharmacist | 4570 County Hwy 61, Moose Lake, MN 55767 | 2013-06-19 |
| 1568801090 | Kendra Dawn Metz | Pharmacist | 4570 County Hwy 61, Moose Lake, MN 55767 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1679172522 | Cari Michelle Labonne | Pharmacist | 4202 Creekwood Pl, Hermantown, MN 55811-3692 | 2020-10-21 |
| 1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1619576626 | Jessica Margaret Dulli | Pharmacist | 5241 Lincoln Dr Apt 204, Edina, MN 55436-2702 | 2020-10-21 |
| 1649879875 | Dale Rudolph | Pharmacist | 320 22nd Ave Ne, Waseca, MN 56093-2670 | 2020-10-19 |
| 1134728520 | Herve Bertrand Kengne Mbakam | Pharmacist | 1800 Windsor Dr S, Shakopee, MN 55379-8073 | 2020-10-18 |
| 1821696402 | Leah Fischer | Pharmacist | 817 11th St N, New Ulm, MN 56073-1374 | 2020-10-15 |
| 1003414780 | Loren Leroy Carver | Pharmacist | 424 3rd St N, Stillwater, MN 55082-4836 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | MOOSE LAKE |
| Zip Code | 55767 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.