Active NPI
James Olson, RPH
- Pharmacist
- Bullhead City, AZ
National Provider Identifier
1285113134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9168
- Practice address
- 2350 Miracle Mile
Bullhead City, AZ 86442-7505 - Phone
- (928) 758-2212
- NPI assigned
- Aug 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9168 | AZ | Primary |
Addresses
Primary practice location
2350 Miracle Mile
Bullhead City, AZ 86442-7505
Mailing address
2440 Hway 95 Ste B
Bullhead City, AZ 86442-7323
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9168 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533945600000",
"number": "1285113134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 HWAY 95 STE B",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864427323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 MIRACLE MILE",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864427505",
"telephone_number": "928-758-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JAMES",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-11",
"last_updated": "2018-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "9168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.