IndividualActive
Jacob Nelson, PHARMD
NPI 1396186151 · Pharmacist · Moose Lake, MN
Provider details
- NPI number
- 1396186151
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 120004 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
441 Arrowhead Ln
Moose Lake, MN 55767-7702
Phone: (218) 485-4401
Fax: (218) 485-8774
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 719
Moose Lake, MN 55767-0719
Registry dates
- Enumerated
- 2013-07-09
- Last updated
- 2013-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.