Individual provider Active NPI

Joan H Olson, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Duluth, MN
National Provider Identifier
1275763971
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
720793 Issued in MN
Practice address
1502 London Rd
Suite 101
Duluth, MN 55812-1788
Phone
(218) 733-1110
Fax
(218) 733-1112
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 720793 MN Primary

Addresses

Primary practice location

1502 London Rd
Suite 101
Duluth, MN 55812-1788

Mailing address

1502 London Rd
Suite 101
Duluth, MN 55812-1788
Phone (218) 733-1110

Other names 1

  • Joan H Brutcher Former name

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

LicenseStateTypeSpecialty
720793MNMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1275763971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD",
            "address_2": "SUITE 101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121788",
            "telephone_number": "218-733-1110",
            "fax_number": "218-733-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD",
            "address_2": "SUITE 101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121788",
            "telephone_number": "218-733-1110",
            "fax_number": "218-733-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JOAN",
        "middle_name": "H",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MN",
            "license": "720793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "BRUTCHER",
            "middle_name": "H",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.