Active NPI
Breanna Marie Olsen
- Pharmacist
- Ventura, CA
National Provider Identifier
1013458140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69821
- Practice address
- 2260 E Thompson Blvd
Ventura, CA 93001-3537 - Phone
- (805) 648-8985
- Fax
- (805) 253-1991
- NPI assigned
- Mar 8, 2017
- Last updated
- Mar 8, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 69821 | CA | Primary |
Addresses
Primary practice location
2260 E Thompson Blvd
Ventura, CA 93001-3537
Mailing address
2260 E Thompson Blvd
Ventura, CA 93001-3537
Phone (805) 648-8985
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1013458140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 E THOMPSON BLVD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013537",
"telephone_number": "805-648-8985",
"fax_number": "805-253-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 E THOMPSON BLVD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013537",
"telephone_number": "805-648-8985",
"fax_number": "805-253-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "BREANNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.