Jay Harvey Olson

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114231 Issued in MN

Practice address

113 N Lake Ave
Battle Lake, MN 56515-4018

Phone

(218) 864-5261

Fax

(218) 864-8178

NPI assigned

Apr 16, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fergus Apothecary Inc

  • Community/Retail Pharmacy
  • Fergus Falls, MN
  • NPI 1306536651
  NPD Authorized official
• Village Apothecary Inc

  • Pharmacist
  • Battle Lake, MN
  • NPI 1366657033
  NPD (past) Authorized official
• Seip Drug LLC

  • Community/Retail Pharmacy
  • Battle Lake, MN
  • NPI 1144424177
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1073194510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "565150538",
            "telephone_number": "218-864-5261",
            "fax_number": "218-864-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N LAKE AVE",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "565154018",
            "telephone_number": "218-864-5261",
            "fax_number": "218-864-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JAY",
        "middle_name": "HARVEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "114231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Edward Ellingson, D.C.
• Fergus Falls Medical Group, P.a.
• Teresa Rae Koppang, MS CCCSLP
• Kelly Ann Kruschke, DNP, FNP-BC, RN
• Midwest Community Residential Services, Inc.
• Otter Tail County
• Ruth Peterka
• Amanda Roberts
• Seip Drug LLC
• Serenity Lakes Home Care

• Community/Retail Pharmacy in Battle Lake, MN
• Providers in Battle Lake, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.