Rococo Enterprises, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH01913 Issued in NV

Legal business name

ROCOCO ENTERPRISES, INC

Doing business as

Olsen's Corner Drug Store

Practice address

147 S Bridge St
Winnemucca, NV 89445-3106

Phone

(775) 625-2777

Fax

(775) 625-2778

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher L Olsen, PHARM.D.

Title

President

Phone

(775) 625-2777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Olsen's Corner Drug Store Doing business as

Locations

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740238948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S BRIDGE ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453106",
            "telephone_number": "775-625-2777",
            "fax_number": "775-625-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 S BRIDGE ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453106",
            "telephone_number": "775-625-2777",
            "fax_number": "775-625-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCOCO ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-625-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH01913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503370",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olsen's Corner Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Winnemucca, NV
• Providers in Winnemucca, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.