Active NPI
Holly Dickey Jones, PHARMD
- Pharmacist
- Madison, WI
National Provider Identifier
1033275904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12454-040
- Practice address
- 600 Highland Ave
F6-133 CSC, Mail Stop 1530
Madison, WI 53792-0001 - Phone
- (608) 263-1297
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 12454-040 | WI | Primary |
| Pharmacist | 183500000X | 0202009092 | VA |
Addresses
Primary practice location
600 Highland Ave
F6-133 CSC, Mail Stop 1530
Madison, WI 53792-0001
Mailing address
600 Highland Ave
F6-133 CSC, Mail Stop 1530
Madison, WI 53792-0001
Phone (608) 263-1297
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202009092 | Other | VA | PHARMACIST |
| 12454-040 | Other | WI | PHARMACIST |
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 |
|---|---|---|---|
| 0202009092 | VA | MD | Pharmacist |
| 12454-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033275904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"address_2": "F6-133 CSC, MAIL STOP 1530",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-263-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"address_2": "F6-133 CSC, MAIL STOP 1530",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-263-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "HOLLY",
"middle_name": "DICKEY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12454-040",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202009092",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "0202009092",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "12454-040",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- 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.