Active NPI
Richard Samuel Holland, R.PH., PH.D.,D.PH.
- Pharmacist
- East Lansing, MI
National Provider Identifier
1043507445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302039170
- Practice address
- 1225 Blanchette Dr
East Lansing, MI 48823-1878 - Phone
- (517) 420-0013
- Fax
- (517) 203-3017
- NPI assigned
- Jul 6, 2011
- 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 | 5302039170 | MI | Primary |
Addresses
Primary practice location
1225 Blanchette Dr
East Lansing, MI 48823-1878
Mailing address
1225 Blanchette Dr
East Lansing, MI 48823-1878
Phone (517) 420-0013
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302039170 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1043507445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 BLANCHETTE DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488231878",
"telephone_number": "517-420-0013",
"fax_number": "517-203-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 BLANCHETTE DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488231878",
"telephone_number": "517-420-0013",
"fax_number": "517-203-3017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "RICHARD",
"middle_name": "SAMUEL",
"credential": "R.PH., PH.D.,D.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.