Randy Oleynik

Individual provider Active NPI Ambulatory Care Pharmacist · Carleton, MI

NPI 1083147805 · NPPES record last updated Apr 8, 2017

Key facts

NPI
1083147805
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Pharmacist 1835P2201X
License
5302025135 (MI)
Practice address
201 Medical Center Dr
Carleton, MI 48117-9485
Phone
(734) 654-6252
Fax
(734) 654-0268
NPI assigned
Apr 8, 2017
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5302025135MIMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carleton Drugs LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 5302025135 MI Yes

Addresses

Primary practice location

201 Medical Center Dr
Carleton, MI 48117-9485

Mailing address

13285 Maxwell Rd
Carleton, MI 48117-9730
Phone (734) 625-5210

Other providers in Carleton, MI

All providers in Carleton, MI · Ambulatory Care Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.