Active NPI
Richard Olson, RPH
- Pharmacist
- Higganum, CT
National Provider Identifier
1588251607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4548
- Practice address
- 23 Killingworth Rd
Higganum, CT 06441-4242 - Phone
- (860) 345-3607
- Fax
- (860) 345-3611
- NPI assigned
- Dec 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4548 | CT | Primary |
Addresses
Primary practice location
23 Killingworth Rd
Higganum, CT 06441-4242
Mailing address
40 Spring St
Berlin, CT 06037-1240
Phone (860) 966-4099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4548 | CT | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1588251607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SPRING ST",
"city": "BERLIN",
"state": "CT",
"postal_code": "060371240",
"telephone_number": "860-966-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 KILLINGWORTH RD",
"city": "HIGGANUM",
"state": "CT",
"postal_code": "064414242",
"telephone_number": "860-345-3607",
"fax_number": "860-345-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "4548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Higganum, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.