Active NPI
Judith B Olsen, PHARMD
- Pharmacist
- Northford, CT
National Provider Identifier
1689797094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9969
- Practice address
- 1395 Middletown Ave.
Northford, CT 06472 - Phone
- (203) 484-0431
- Fax
- (203) 484-2693
- NPI assigned
- Apr 9, 2007
- Last updated
- Apr 14, 2011
- Sex
- Female
- 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 | 9969 | CT | Primary |
Addresses
Primary practice location
1395 Middletown Ave.
Northford, CT 06472
Mailing address
1395 Middletown Ave
Northford, CT 06472
Phone (203) 484-0431
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxi Drug Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1689797094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 MIDDLETOWN AVE",
"city": "NORTHFORD",
"state": "CT",
"postal_code": "06472",
"telephone_number": "203-484-0431",
"fax_number": "203-484-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 MIDDLETOWN AVE.",
"city": "NORTHFORD",
"state": "CT",
"postal_code": "06472",
"telephone_number": "203-484-0431",
"fax_number": "203-484-2693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "JUDITH",
"middle_name": "B",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "9969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northford, CT
- Maxi Drug Inc (Rite Aid Pharmacy 10372)
- Sarah Ann McDonald, APRN
- McKeon Wellness Services LLC
- North Branford Schools
- Northford Family Dental
- Maria Jose Penedo Warren, LPCA
- Professional Dental Alliance of Northford, PLLC (Life Long Dental Care of Northford)
- Sandra Marie Pullo, APRN
- Noelle Ranfone, LCSW
- Julia Marie Ricardo, ATS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.