Adam Olivetti, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

RP447725 Issued in PA

Practice address

58-60 Public Square
Wilkes-Barre, PA 18702

Phone

(570) 849-6037

NPI assigned

Apr 3, 2019

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1528520186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 THROOP ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122639",
            "telephone_number": "570-849-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58-60 PUBLIC SQUARE",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-849-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVETTI",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP447725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BOARD OF PHARMACY",
            "identifier": "RP447725",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Ohl
• Charise M Okonski, COTA
• Japheth Eitamaegbe Okpebholo, DO
• Amanda J Olaviany, LSW
• Ashley Oliva
• Sandra Kristine Olowiany, RRT
• Hans P. Olsen IV, M.D.
• Jennifer Olsen, OT
• Alexander Olson
• Nathan Mark Olson, DO

• Ambulatory Care Pharmacist in Wilkes-Barre, PA
• Providers in Wilkes-Barre, PA by specialty
• Ambulatory Care Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.