Active NPI
Howard Lyle Olsen, RPH
- Pharmacist
- Sarasota, FL
National Provider Identifier
1902526965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS32369
- Practice address
- 2134 Gulf Gate Dr
Sarasota, FL 34231-4813 - Phone
- (941) 493-6500
- Fax
- (941) 493-6552
- NPI assigned
- Aug 30, 2022
- Last updated
- Aug 30, 2022
- 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 | PS32369 | FL | Primary |
Addresses
Primary practice location
2134 Gulf Gate Dr
Sarasota, FL 34231-4813
Mailing address
8749 Stone Harbour Loop
Bradenton, FL 34212-6324
Phone (941) 962-8741
Other practice location 1
8749 Stone Harbour Loop
Bradenton, FL 34212-6324
Phone (941) 962-8741
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Computer | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS32369 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Clinic and RX LLC | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1902526965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8749 STONE HARBOUR LOOP",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342126324",
"telephone_number": "941-962-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2134 GULF GATE DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342314813",
"telephone_number": "941-493-6500",
"fax_number": "941-493-6552"
}
],
"practiceLocations": [
{
"address_1": "8749 Stone Harbour Loop",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342126324",
"country_code": "US",
"telephone_number": "941-962-8741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSEN",
"first_name": "HOWARD",
"middle_name": "LYLE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS32369",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Computer",
"affiliation": "N",
"endpointDescription": "Computer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Computer",
"address_1": "8749 Stone Harbour Loop",
"city": "Bradenton",
"state": "FL",
"country_code": "US",
"postal_code": "342126324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.