Active NPI
Zach Olson
- Pharmacist
- Norridge, IL
National Provider Identifier
1114541844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.299063
- Practice address
- 4820 N Cumberland Ave
Norridge, IL 60706-2914 - Phone
- (708) 583-2133
- NPI assigned
- May 28, 2020
- Last updated
- May 28, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 051.299063 | IL | Primary |
Addresses
Primary practice location
4820 N Cumberland Ave
Norridge, IL 60706-2914
Mailing address
7741 W Columbia Ave
Chicago, IL 60631-1503
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Zaodrums@gmail.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.299063 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1114541844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7741 W COLUMBIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 N CUMBERLAND AVE",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607062914",
"telephone_number": "708-583-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ZACH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-28",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.299063",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Zaodrums@gmail.com",
"affiliation": "N",
"address_1": "4820 N Cumberland Ave",
"city": "Norridge",
"state": "IL",
"country_code": "US",
"postal_code": "607062914",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Norridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.