Active NPI
Kristen Olson, PHARMD
- Pharmacist
- Aiken, SC
National Provider Identifier
1740764513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37897
- Practice address
- 2191 Whiskey Rd
Aiken, SC 29803-6138 - Phone
- (803) 648-8155
- NPI assigned
- Sep 18, 2018
- Last updated
- Sep 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH030867 | GA | |
| Pharmacist | 183500000X | 37897 | SC | Primary |
Addresses
Primary practice location
2191 Whiskey Rd
Aiken, SC 29803-6138
Mailing address
308 Monaco CT
Evans, GA 30809-9121
Phone (706) 836-4129
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37897 | Other | SC | SC PHARMACIST LICENSE |
| RPH030867 | Other | GA | GA PHARMACIST LICENSE |
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 |
|---|---|---|---|
| RPH030867 | GA | MD | Pharmacist |
| 37897 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1740764513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 MONACO CT",
"city": "EVANS",
"state": "GA",
"postal_code": "308099121",
"telephone_number": "706-836-4129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 WHISKEY RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298036138",
"telephone_number": "803-648-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KRISTEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030867",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC PHARMACIST LICENSE",
"identifier": "37897",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA PHARMACIST LICENSE",
"identifier": "RPH030867",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.