Active NPI
Matthew Olson, PHARMD
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1003539818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20374-40
- Practice address
- 2920 W Dakota St
Milwaukee, WI 53215-3623 - Phone
- (262) 957-8239
- NPI assigned
- Sep 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26028766A | IN | |
| Pharmacist | 183500000X | 051.304189 | IL | |
| Pharmacist | 183500000X | 20374-40 | WI | Primary |
Addresses
Primary practice location
2920 W Dakota St
Milwaukee, WI 53215-3623
Mailing address
2920 W Dakota St
Milwaukee, WI 53215-3623
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.304189 | IL | MD | Pharmacist |
| 26028766A | IN | MD | Pharmacist |
| 20374-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1003539818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 W DAKOTA ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 W DAKOTA ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153623",
"telephone_number": "262-957-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MATTHEW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26028766A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.304189",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20374-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.