Michael Olenik, PHARMD
Individual provider Active NPI Pharmacist · Saint John, IN
NPI 1346522471 · NPPES record last updated Sep 14, 2011
Key facts
- NPI
- 1346522471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26024036A (IN)
- Practice address
- 11461 W 78TH CT
Saint John, IN 46373-9717 - Phone
- (219) 765-4993
- NPI assigned
- Sep 14, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26024036A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26024036A | IN | Yes |
Addresses
Primary practice location
11461 W 78TH CT
Saint John, IN 46373-9717
Mailing address
11461 W 78TH CT
Saint John, IN 46373-9717
Other providers in Saint John, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.