Active NPI
Holly Nicole Elgin
- Pharmacist
- Muscle Shoals, AL
National Provider Identifier
1003427709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20644
- Practice address
- 1801 Woodward Ave
Muscle Shoals, AL 35661-2843 - Phone
- (256) 383-0896
- Fax
- (256) 383-1619
- NPI assigned
- Aug 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 20644 | AL | Primary |
Addresses
Primary practice location
1801 Woodward Ave
Muscle Shoals, AL 35661-2843
Mailing address
136 W Lakeside Dr
Florence, AL 35630-3239
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.02557@store.walgreens.com | WALGREEN CO |
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 |
|---|---|---|---|
| 20644 | AL | 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
- Muscle Shoals, AL
- NPI 1811902182
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1003427709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 W LAKESIDE DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356303239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 WOODWARD AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612843",
"telephone_number": "256-383-0896",
"fax_number": "256-383-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGIN",
"first_name": "HOLLY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2023-11-27",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20644",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.02557@store.walgreens.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "WALGREEN CO",
"address_1": "1801 Woodward Ave",
"city": "Muscle Shoals",
"state": "AL",
"country_code": "US",
"postal_code": "356612843",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.