Active NPI
Joseph J Olson, CPHT
- Pharmacy Technician
- Elk River, MN
National Provider Identifier
1710670666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 735774
- Practice address
- 18267 Carson CT NW
Elk River, MN 55330-2733 - Phone
- (763) 670-5204
- NPI assigned
- May 29, 2023
- Last updated
- Aug 12, 2024
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 735774 | MN | Primary |
Addresses
Primary practice location
18267 Carson CT NW
Elk River, MN 55330-2733
Mailing address
20411 June Grass Dr
Big Lake, MN 55309-5201
Phone (763) 670-5204
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 735774 | MN | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1710670666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20411 JUNE GRASS DR",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "553095201",
"telephone_number": "763-670-5204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18267 CARSON CT NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553302733",
"telephone_number": "763-670-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JOSEPH",
"middle_name": "J",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-29",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MN",
"license": "735774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.