Individual provider Active NPI

Rachael Anne Olsufka

  • Pharmacist
  • Vancouver, WA
National Provider Identifier
1811477888
Registry record updated Aug 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
018005 Issued in KY
Practice address
18110 SE 34TH St Ste 270
Vancouver, WA 98683-9440
Phone
(800) 330-3665
NPI assigned
Aug 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 018005 KY Primary

Addresses

Primary practice location

18110 SE 34TH St Ste 270
Vancouver, WA 98683-9440

Mailing address

2528 Dressage Way
Lexington, KY 40504-1690
Phone (916) 730-7949

Other practice location 1

2528 Dressage Way
Lexington, KY 40504-1690
Phone (916) 730-7949

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

LicenseStateTypeSpecialty
018005KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1811477888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 DRESSAGE WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041690",
            "telephone_number": "916-730-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18110 SE 34TH ST STE 270",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839440",
            "telephone_number": "800-330-3665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2528 Dressage Way",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405041690",
            "country_code": "US",
            "telephone_number": "916-730-7949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSUFKA",
        "first_name": "RACHAEL",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "018005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

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

Verify at the official NPI Registry.