Michelle Olson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

19414 Issued in IA

Practice address

2304 NE Beaverbrooke Blvd
Grimes, IA 50111-8882

Phone

(515) 556-3079

NPI assigned

Oct 3, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Econo-Med of Iowa, LLC

  • Pharmacy
  • Urbandale, IA
  • NPI 1194712539
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1851388045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 NE BEAVERBROOKE BLVD",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118882",
            "telephone_number": "515-556-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 NE BEAVERBROOKE BLVD",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118882",
            "telephone_number": "515-556-3079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11302 Aurora Ave",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503227907",
            "country_code": "US",
            "telephone_number": "515-334-7608",
            "fax_number": "515-334-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MICHELLE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Nichols, PHARMD
• Samuel Nissly
• Nuru Diversity LC
• Joseph Michael O'Tool, D.C.
• Kaleb Olson, DC
• Edina Omerhodzic, PHARMD
• Paul Eirik Otteson, P.A.-C
• Paul L Ouverson, DPT
• Pediatric Speech Therapy
• Danielle Penton, PMHNP

• Pharmacist in Grimes, IA
• Providers in Grimes, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.