Individual provider Active NPI

Kolton Clair Olsen, PHARM.D.

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1215223797
Registry record updated Aug 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6000384-1701 Issued in UT
Practice address
1401 2ND Ave
Seattle, WA 98101-2187
Phone
(206) 494-3251
Fax
(206) 494-3256
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6000384-1701 UT Primary
Pharmacist 183500000X 6000384-8911 UT
Pharmacist 183500000X RPH-0014245 OR
Pharmacist 183500000X PH60485475 WA

Addresses

Primary practice location

1401 2ND Ave
Seattle, WA 98101-2187

Mailing address

1401 2ND Ave
Seattle, WA 98101-2187
Phone (206) 494-3251

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH-0014245ORMDPharmacist
6000384-1701UTMDPharmacist
6000384-8911UTMDPharmacist
PH60485475WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440288000000",
    "number": "1215223797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 2ND AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012187",
            "telephone_number": "206-494-3251",
            "fax_number": "206-494-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 2ND AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012187",
            "telephone_number": "206-494-3251",
            "fax_number": "206-494-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KOLTON",
        "middle_name": "CLAIR",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2015-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "6000384-1701",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "6000384-8911",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014245",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60485475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2015; 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.