Samuel A Olson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

O51.295876 Issued in IL

Practice address

1991 S Bridge St
Yorkville, IL 60560-9851

Phone

(630) 553-6112

NPI assigned

Aug 16, 2012

Last updated

Aug 16, 2012By 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

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1508114836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 INDEPENDENCE CT",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609277",
            "telephone_number": "630-553-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 S BRIDGE ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609851",
            "telephone_number": "630-553-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "O51.295876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine D Obordo, LCSW, CADC
• Lauren N Obrochta
• Marc Oda, DPT
• Dasha Oleary
• Motunrayo Olooto, NP
• Karen Onishi, O.D.
• Katherine R Ott, LCSW, CADC
• Ashley Michelle Ottenstein, L.M.T
• P2H Inc.
• Jeannine Marie Pacetti, LPC

• Pharmacist in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.