Active NPI
Lance E Olson, PHARMD
- Pharmacist
- Camas, WA
National Provider Identifier
1679705149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S011923
- Practice address
- 1730 NE Pecan LN
Camas, WA 98607-1274 - Phone
- (952) 913-7886
- Fax
- (952) 496-3138
- NPI assigned
- Aug 18, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 117430 | MN | |
| Pharmacist | 183500000X | RPH-0015158 | OR | |
| Pharmacist | 183500000X | PH60551188 | WA | |
| Pharmacist | 183500000X | S011923 | AZ | Primary |
Addresses
Primary practice location
1730 NE Pecan LN
Camas, WA 98607-1274
Mailing address
1730 NE Pecan LN
Camas, WA 98607-1274
Phone (952) 913-7886
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S011923 | AZ | MD | Pharmacist |
| 117430 | MN | MD | Pharmacist |
| RPH-0015158 | OR | MD | Pharmacist |
| PH60551188 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1679705149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 NE PECAN LN",
"city": "CAMAS",
"state": "WA",
"postal_code": "986071274",
"telephone_number": "952-913-7886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 NE PECAN LN",
"city": "CAMAS",
"state": "WA",
"postal_code": "986071274",
"telephone_number": "952-913-7886",
"fax_number": "952-496-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "LANCE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-18",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117430",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0015158",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60551188",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S011923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.