Thomas Kevin Olds

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302026393 Issued in MI

Practice address

6020 B Dr N
Battle Creek, MI 49014-8367

Phone

(269) 979-4727

Fax

(269) 979-8704

NPI assigned

Mar 16, 2010

Last updated

Mar 16, 2010By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1477877686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 B DR N",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148367",
            "telephone_number": "269-979-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 B DR N",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148367",
            "telephone_number": "269-979-4727",
            "fax_number": "269-979-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS",
        "first_name": "THOMAS",
        "middle_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302026393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "5302026393",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.