Samuel Olczyk, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

I067693 Issued in NY

Practice address

2144 Grand Central Ave
Horseheads, NY 14845-8260

Phone

(607) 739-0301

NPI assigned

Mar 31, 2021

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eckerd Corporation

  dba Rite Aid Pharmacy 11268

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1417535352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 WATKINS RD APT 2B",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458580",
            "telephone_number": "315-941-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 GRAND CENTRAL AVE",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458260",
            "telephone_number": "607-739-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLCZYK",
        "first_name": "SAMUEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I067693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameigh O'Connell
• Michael John O'Connor, O.D.
• Cindy Obazuaye
• Philip Jay Odessky
• Olusoji Derek Olakanpo, MD
• Orchard Family Health Care
• Julianne None Osborn, LPN
• Wendy Yvonne Ott, M.S. CCC-SLP
• Pamela Jean Overdurf, LMSW
• Joel Christopher Owens, FNP

• Pharmacist in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.