Holly Springs Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

12954 Issued in NC

Legal business name

HOLLY SPRINGS PHARMACY LLC

Doing business as

Holly Springs Pharmacy

Practice address

648 Holly Springs Rd
Holly Springs, NC 27540-9030

Phone

(919) 346-6689

Fax

(919) 346-6691

NPI assigned

Apr 27, 2015

Last updated

Aug 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suzan Kalantar, PHARMDNPI 1346505997

Title

Member

Phone

(919) 346-6689

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Holly Springs Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Tax ID family

Holly Springs Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holly Springs Pharmacy LLC

  dba Holly Springs Pharmacy LTC

  • Long Term Care Pharmacy
  • Holly Springs, NC
  • NPI 1114611266
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzan Nadimi Kalantar, PHARMD

  • Pharmacist
  • Holly Springs, NC
  • NPI 1346505997
  NPD Authorized official
• Christine Salama

  • Pharmacist
  • Raleigh, NC
  • NPI 1235605288
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1023495272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HOLLY SPRINGS RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409030",
            "telephone_number": "919-346-6689",
            "fax_number": "919-346-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 HOLLY SPRINGS RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409030",
            "telephone_number": "919-346-6689",
            "fax_number": "919-346-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY SPRINGS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "KALANTAR",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-346-6689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NC",
            "license": "12954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3464839",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023495272",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Springs Family Dentistry
• Holly Springs Feeding & Speech
• Holly Springs Medical Center, PA
• Holly Springs Neurology PA
• Holly Springs Pediatrics
• Holly Springs Pharmacy LLC (Holly Springs Pharmacy LTC)
• Holly Springs Physical Therapy
• Holly Springs Psychiatry PLLC
• Holly Springs Surgery Center, LLC
• Honeysuckle Lactation Consultants LLC

• Specialty Pharmacy in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Specialty Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.