Active NPI
Kevin Olivieri
- Pharmacotherapy Pharmacist
- Melbourne, FL
National Provider Identifier
1851785018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PS52566
- Practice address
- 3325 Rivercrest Dr
Apt 116
Melbourne, FL 32935-5769 - Phone
- (716) 200-3835
- NPI assigned
- Mar 26, 2015
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PS52566 | FL | Primary |
Addresses
Primary practice location
3325 Rivercrest Dr
Apt 116
Melbourne, FL 32935-5769
Mailing address
3325 Rivercrest Dr
Apt 116
Melbourne, FL 32935-5769
Phone (716) 200-3835
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS52566 | FL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1851785018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 RIVERCREST DR",
"address_2": "APT 116",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329355769",
"telephone_number": "716-200-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 RIVERCREST DR",
"address_2": "APT 116",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329355769",
"telephone_number": "716-200-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIERI",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS52566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.