Laura Olsen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.297691 Issued in IL

Practice address

3401 Broadway St
Mount Vernon, IL 62864-2201

Phone

(618) 244-5400

Fax

(618) 244-5988

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Byrd-Watson Times Square Drug Co

  dba Byrd-Watson Pharmacy LTC

  • Long Term Care Pharmacy
  • Mount Vernon, IL
  • NPI 1043997182
  NPD (past)
• Byrd-Watson Times Square Drug Co

  dba Byrd-Watson Pharmacy

  • Community/Retail Pharmacy
  • Mount Vernon, IL
  • NPI 1598775413
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1104372911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642201",
            "telephone_number": "618-244-5400",
            "fax_number": "618-244-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642201",
            "telephone_number": "618-244-5400",
            "fax_number": "618-244-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "LAURA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.297691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Mabong Nwosu, M.D.
• Kathy O'Brien
• Angela K Oglesby, OTR/L
• Sehun Oh
• Ohley Home Medical, LLC (Ohley Medical Supply & Pharmacy)
• Madeline Carey Olson
• One Hope United
• One Hope United
• One Hope United
• Jamie M Orange, PTA

• Pharmacist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.