Active NPI
Jennifer Ann Olesuk, PHARMD
- Pharmacist
- Smithtown, NY
National Provider Identifier
1043532922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I054067DUP
- Practice address
- 10 W Main St
Smithtown, NY 11787-2615 - Phone
- (631) 724-0381
- NPI assigned
- Feb 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | I054067DUP | NY | Primary |
Addresses
Primary practice location
10 W Main St
Smithtown, NY 11787-2615
Mailing address
3 Lovell CT
Farmingville, NY 11738-2273
Phone (631) 698-1987
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 |
|---|---|---|---|
| I054067DUP | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1043532922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LOVELL CT",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117382273",
"telephone_number": "631-698-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872615",
"telephone_number": "631-724-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLESUK",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I054067DUP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.