Active NPI
Douglas E Olson, CPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Sarasota, FL
National Provider Identifier
1154635258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PU 3902
- Practice address
- 75 S Tuttle Ave
Sarasota, FL 34237-6329 - Phone
- (941) 915-0298
- NPI assigned
- Jul 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH 19231 | FL | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PU 3902 | FL | Primary |
Addresses
Primary practice location
75 S Tuttle Ave
Sarasota, FL 34237-6329
Mailing address
75 S Tuttle Ave
Sarasota, FL 34237-6329
Phone (941) 915-0298
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH 19231 | FL | MD | Pharmacist |
| PU 3902 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olson Drug Corporation | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Sarasota, FL
- NPI 1568468932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1154635258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 S TUTTLE AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342376329",
"telephone_number": "941-915-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 S TUTTLE AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342376329",
"telephone_number": "941-915-0298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DOUGLAS",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "CPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-30",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PH 19231",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PU 3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.