Active NPI
Timothy Olson, PHARM.D.
- Pharmacist
- New Prague, MN
National Provider Identifier
1821375684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119759
- Practice address
- 100 Chalupsky Ave SE
New Prague, MN 56071-6839 - Phone
- (952) 758-8855
- NPI assigned
- Nov 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 119759 | MN | Primary |
Addresses
Primary practice location
100 Chalupsky Ave SE
New Prague, MN 56071-6839
Mailing address
100 Chalupsky Ave SE
New Prague, MN 56071-6839
Phone (952) 758-8855
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 |
|---|---|---|---|
| 119759 | MN | 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 and National Provider Directory roles.
-
- Pharmacy
- New Prague, MN
- NPI 1477882686
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- Pharmacy
- Longview, TX
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1821375684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHALUPSKY AVE SE",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560716839",
"telephone_number": "952-758-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHALUPSKY AVE SE",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560716839",
"telephone_number": "952-758-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-08",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Prague, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.