Holly Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HOLLY PHARMACY INC

Practice address

31 N Baltimore Ave
Mount Holly Springs, PA 17065-1302

Phone

(717) 486-5321

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Bryan R Gobin

Title

Treas

Phone

(717) 486-8606

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1013063916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 N BALTIMORE AVE",
            "city": "MOUNT HOLLY SPRINGS",
            "state": "PA",
            "postal_code": "170651302",
            "telephone_number": "717-486-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 N BALTIMORE AVE",
            "city": "MOUNT HOLLY SPRINGS",
            "state": "PA",
            "postal_code": "170651302",
            "telephone_number": "717-486-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "GOBIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREAS",
        "authorized_official_telephone_number": "717-486-8606"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11238470002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Michael Daniels, LLC
• Megan Amanda Dunlevy, PTA
• Valerie Frandsen Goates, PA-C
• Bryan R Gobin, RPH
• Linda Jean Henninger, D.C.
• Lauren Jean Krall, LPC
• Moskel Counseling Services
• Peter Moskel, M.D.
• Lisa C Myers, DO
• Marjory J Nace, R.PH.

• Community/Retail Pharmacy in Mount Holly Springs, PA
• Providers in Mount Holly Springs, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.