Organization Active NPI

Olson Pharmacy Services

  • Long Term Care Pharmacy
  • Oregon City, OR
National Provider Identifier
1023440864
Registry record updated Aug 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
IP-0002245-CS Issued in OR
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,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1477740827MedicaidOR

Other names 1

  • OLSON DRUG, INC Doing business as

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.

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.

Verify at the official NPI Registry.