Individual provider Active NPI

Kathleen Susan O'Lenic, RPH

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1649437484
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS 34912 Issued in FL
Practice address
5100 W Lemon St
Tampa, FL 33609-1111
Phone
(813) 463-1240
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 34912 FL Primary

Addresses

Primary practice location

5100 W Lemon St
Tampa, FL 33609-1111

Mailing address

26757 Haverhill Dr
Lutz, FL 33559-8509
Phone (813) 532-4357

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

LicenseStateTypeSpecialty
PS 34912FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1649437484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26757 HAVERHILL DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335598509",
            "telephone_number": "813-532-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W LEMON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091111",
            "telephone_number": "813-463-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LENIC",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 34912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.