Holistic Pharmacy Service Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

054.017739 Issued in IL

Legal business name

HOLISTIC PHARMACY SERVICE INC

Practice address

133 N Grand Ave E
Springfield, IL 62702-3859

Phone

(217) 525-0058

Fax

(217) 525-0034

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Beaux Cole, PHARMD

Title

Pharmacist

Phone

(217) 525-0058

Specialties & licenses 1

Addresses

Other names 1

• Medicine Shoppe Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1003210402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N GRAND AVE E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023859",
            "telephone_number": "217-525-0058",
            "fax_number": "217-525-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N GRAND AVE E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023859",
            "telephone_number": "217-525-0058",
            "fax_number": "217-525-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "BEAUX",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "217-525-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054.017739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart Hohm, M.D.
• Brittany Nicole Hohman, RBT
• Addison Hohner
• Clinton R Holaday
• Larry W Holder, M.D.
• Holistic Pharmacy Services Inc
• Bradley Christopher Holland, M.D.
• David C Holland, O.D.
• John J Holland, M.D.
• Rebecca Holland, LCSW

• All providers in Springfield, IL
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.