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Deactivated NPI 1265601322 Deactivated / Inactive NPI Male Practitioner

Larry E Nelson , R PH

Pharmacist • Moorhead, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Larry Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 22, 2008
NPI Deactivation Date April 12, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Larry Nelson, R PH was a registered Pharmacist practicing in Moorhead, MN. Throughout an active medical career spanning 14 years, Larry Nelson provided care at the practice location at 1307 2ND ST S UNIT C until profile deactivation on 2022-04-12.

Practice Location & Contact Primary Location

Practice Address

1307 2nd St S Unit C

Moorhead, MN 565604066

Telephone 6199440623
Fax 2185120457

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Moorhead, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
45 Specialists

Practicing in Moorhead, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ND 3065

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 12, 2022

Record deactivated on April 12, 2022

NPI Profile Active June 14, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 14, 2013

Registered at 1307 2ND ST S UNIT C, MOORHEAD, MN 565604066 (Tel: 6199440623)

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Updated Business Mailing Address June 14, 2013

Registered at 1307 2ND ST S UNIT C, MOORHEAD, MN 565604066 (Tel: 6199440623)

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Provider Name / Credentials Updated June 14, 2013

Recorded as LARRY NELSON, R. PH.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2013

Pharmacist (License #3065 in ND)

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Initial NPI Registration & Enumeration February 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265601322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2008
Last Update: June 14, 2013
Deactivation Date: April 12, 2022

Mailing Address

1307 2nd St S Unit C

Moorhead, MN 565604066

Phone: 6199440623

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.