Active NPI
Michael Foster Holman, PHARM.D.
- Pharmacist
- Salem, OR
National Provider Identifier
1023425576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0010471
- Practice address
- 1940 Turner Rd SE
Salem, OR 97302-2003 - Phone
- (503) 391-0586
- Fax
- (503) 391-0753
- NPI assigned
- Jul 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0010471 | OR | Primary |
| Pharmacist | 183500000X | PH 00052736 | WA |
Addresses
Primary practice location
1940 Turner Rd SE
Salem, OR 97302-2003
Mailing address
1940 Turner Rd SE
Salem, OR 97302-2003
Phone (503) 391-0586
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH 00052736 | Other | WA | WASHINGTON STATE BOARD OF PHARMACY |
| RPH-0010471 | Other | OR | OREGON BOARD OF PHARMACY |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0010471 | OR | MD | Pharmacist |
| PH 00052736 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1023425576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 TURNER RD SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022003",
"telephone_number": "503-391-0586",
"fax_number": "503-391-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 TURNER RD SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022003",
"telephone_number": "503-391-0586",
"fax_number": "503-391-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "MICHAEL",
"middle_name": "FOSTER",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010471",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 00052736",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE BOARD OF PHARMACY",
"identifier": "PH 00052736",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF PHARMACY",
"identifier": "RPH-0010471",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.