Active NPI
Kenneth Mitchell Holder, RPH
- Pharmacist
- Hutchinson, KS
National Provider Identifier
1013249572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9816
- Practice address
- 1320 E 30TH Ave
Hutchinson, KS 67502-4233 - Phone
- (620) 669-8559
- Fax
- (620) 663-4156
- NPI assigned
- Feb 9, 2010
- 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 | 9816 | KS | Primary |
Addresses
Primary practice location
1320 E 30TH Ave
Hutchinson, KS 67502-4233
Mailing address
1320 E 30TH Ave
Hutchinson, KS 67502-4233
Phone (620) 669-8559
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 |
|---|---|---|---|
| 9816 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1013249572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 E 30TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675024233",
"telephone_number": "620-669-8559",
"fax_number": "620-663-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 E 30TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675024233",
"telephone_number": "620-669-8559",
"fax_number": "620-663-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "KENNETH",
"middle_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "9816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.