George H Holoubek Jr., R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

17112 Issued in IA

Practice address

4064 E 53Rd St
Davenport, IA 52807-3033

Phone

(563) 359-3120

Fax

(563) 359-1137

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023137254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 LORTON AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072318",
            "telephone_number": "563-359-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073033",
            "telephone_number": "563-359-3120",
            "fax_number": "563-359-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLOUBEK",
        "first_name": "GEORGE",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "17112",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "12468",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "0051-286448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan P. Holland, PA
• Rachel Holland
• Blake Anthony Holmes
• Kara Holmes, LMHC
• Kelli Sue Holmgren, OTA
• Laura Ann Holst, DNP, ANESTHESIA
• Olivia Grace Holstein
• Charles Reed Holt, D.O.
• Nadia Edoritsedamie Holtmyer, RD LD
• Amanda Hook

• Pharmacist in Davenport, IA
• Providers in Davenport, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.