Active NPI
Kolton Clair Olsen, PHARM.D.
- Pharmacist
- Seattle, WA
National Provider Identifier
1215223797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6000384-1701
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0014245 | OR | MD | Pharmacist |
| 6000384-1701 | UT | MD | Pharmacist |
| 6000384-8911 | UT | MD | Pharmacist |
| PH60485475 | WA | MD | Pharmacist |
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.