Individual provider Active NPI

Brandon Thomas Olsen, R. PH

  • Pharmacist
  • East Hampton, NY
National Provider Identifier
1770461444
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
072997 Issued in NY
Practice address
81 Main St
East Hampton, NY 11937-2731
Phone
(631) 324-0082
Fax
(631) 324-0338
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 072997 NY Primary

Addresses

Primary practice location

81 Main St
East Hampton, NY 11937-2731

Mailing address

244 Kerry St
Holbrook, NY 11741-3818

Other practice location 1

18 Hampton Rd
Southampton, NY 11968-4930
Phone (631) 287-2900

Other practice location 2

20 Main St
Sag Harbor, NY 11963-3006
Phone (631) 808-9090

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
072997NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nyco Chemists IV Inc. Past Accepting new patients
Whites Pharmacy Inc PastSince Aug 25, 2025 Accepting new patients
Nyco Chemists VI, Inc. Past Accepting new patients
Nyco Chemist III Inc PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 4

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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1770461444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 KERRY ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117413818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MAIN ST",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372731",
            "telephone_number": "631-324-0082",
            "fax_number": "631-324-0338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119684930",
            "country_code": "US",
            "telephone_number": "631-287-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Main St",
            "address_purpose": "LOCATION",
            "city": "Sag Harbor",
            "state": "NY",
            "postal_code": "119633006",
            "country_code": "US",
            "telephone_number": "631-808-9090",
            "fax_number": "631-808-9091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "BRANDON",
        "middle_name": "THOMAS",
        "credential": "R. PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "072997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.