Organization Active NPI

Olssons RX

  • Community/Retail Pharmacy
  • Hawthorne, NJ
National Provider Identifier
1245339449
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00320800 Issued in NJ
Legal business name
OLSSONS RX
Practice address
576 Lafayette Avenue
Hawthorne, NJ 07506-2423
Phone
(973) 427-1700
Fax
(973) 427-7292
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Ankit ShahNPI 1972219681
Title
Owner
Phone
(973) 767-8875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00320800 NJ Primary

Addresses

Primary practice location

576 Lafayette Avenue
Hawthorne, NJ 07506-2423

Mailing address

576 Lafayette Avenue
Hawthorne, NJ 07506-2423
Phone (973) 427-1700

Other identifiers 1

IdentifierTypeStateIssuer
4337107MedicaidNJ

Other names 1

  • OLSSON'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603002944 NJ DME Supplier - Pharmacy 3971012782 Practice locations: Hawthorne, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Olssons RX576 Lafayette Ave, Hawthorne, NJ 07506-2423(973) 427-1700 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 3, 2025

National Provider Directory

National Provider Directory

Locations

576 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 427-1700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1245339449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 LAFAYETTE AVENUE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062423",
            "telephone_number": "973-427-1700",
            "fax_number": "973-427-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 LAFAYETTE AVENUE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062423",
            "telephone_number": "973-427-1700",
            "fax_number": "973-427-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSSONS RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANKIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-767-8875"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00320800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4337107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLSSON'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.