Active NPI
Olivia Vlasin, PHARMD
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1689474660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22930-40
- Practice address
- 3109 S Kinnickinnic Ave
Milwaukee, WI 53207-2935 - Phone
- (414) 482-3515
- NPI assigned
- Mar 18, 2025
- Last updated
- Mar 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 22930-40 | WI | Primary |
Addresses
Primary practice location
3109 S Kinnickinnic Ave
Milwaukee, WI 53207-2935
Mailing address
27101 Nottingham Dr
Waterford, WI 53185-5241
Phone (262) 488-4428
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 |
|---|---|---|---|
| 22930-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3109 S Kinnickinnic Ave
Milwaukee, WI 53207
Phone (414) 482-3135
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1689474660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27101 NOTTINGHAM DR",
"city": "WATERFORD",
"state": "WI",
"postal_code": "531855241",
"telephone_number": "262-488-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 S KINNICKINNIC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532072935",
"telephone_number": "414-482-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLASIN",
"first_name": "OLIVIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "22930-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.