Active NPI
Olson Pharmacy Services
- Long Term Care Pharmacy
- Oregon City, OR
National Provider Identifier
1023440864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- IP-0002245-CS
- Legal business name
- OLSON PHARMACY SERVICES
- Doing business as
- OLSON DRUG, INC
- Practice address
- 617 Monroe St
Oregon City, OR 97045-2336 - Phone
- (503) 607-1170
- Fax
- (503) 607-1169
- NPI assigned
- Aug 3, 2013
- Organization subpart
- Yes
- Parent organization
- OLSON DRUG,INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David M Nguyen
- Title
- Ceo
- Phone
- (503) 607-1170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | IP-0002245-CS | OR | Primary |
Addresses
Primary practice location
617 Monroe St
Oregon City, OR 97045-2336
Mailing address
PO Box 68309
Portland, OR 97268-0309
Phone (503) 607-1170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477740827 | Medicaid | OR |
Other names 1
- OLSON DRUG, INC
National Provider Directory
National Provider Directory- Part of
- Olson Drug
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Milwaukie, OR
- NPI 1477740827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375488000000",
"number": "1023440864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68309",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972680309",
"telephone_number": "503-607-1170",
"fax_number": "503-607-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 MONROE ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452336",
"telephone_number": "503-607-1170",
"fax_number": "503-607-1169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLSON PHARMACY SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OLSON DRUG,INC",
"enumeration_date": "2013-08-03",
"last_updated": "2013-08-03",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "503-607-1170"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "OR",
"license": "IP-0002245-CS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477740827",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OLSON DRUG, INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.