Nicholas Olivas, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00010245 Issued in NM

Practice address

933 San Mateo Blvd NE Ste 501
Albuquerque, NM 87108-1956

Phone

(505) 313-8080

NPI assigned

Oct 23, 2024

Last updated

Oct 26, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens Specialty Pharmacy #16544

  • Pharmacy
  • Albuquerque, NM
  • NPI 1942721048
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1578384368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 PHILLIPS RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 SAN MATEO BLVD NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081956",
            "telephone_number": "505-313-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00010245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Ivan Olivas, PHARM D
• Joslin Nicole Olivas, FNP
• Katrina S Olivas, NP
• Laura Olivas
• Myra Jill Olivas, RD
• Olivia Olivas, PT
• Oscar Olivas
• Samantha Olivas, MA, M.ED., BCBA
• Stevana Olivas
• Oliver L Marianetti, D.M.D.

• Pharmacist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.