Active NPI
Holly J. a. Strattard, RPH
- Pharmacist
- Gray, ME
National Provider Identifier
1053901728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4983
- Practice address
- 310 Center Rd
Gray, ME 04039-5447 - Phone
- (207) 657-6122
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PR4983 | ME | Primary |
Addresses
Primary practice location
310 Center Rd
Gray, ME 04039-5447
Mailing address
PO Box 783
Gray, ME 04039-0783
Phone (207) 657-6122
Other practice location 1
130 Shaker Rd
Gray, ME 04039-9633
Phone (207) 657-5832
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR4983 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannaford Bros. Co., LLC | Past | Accepting new patients | |
| Hannaford Bros Co LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Gray, ME
- NPI 1710115696
-
- Community/Retail Pharmacy
- Scarborough, ME
- NPI 1861175622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1053901728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783",
"city": "GRAY",
"state": "ME",
"postal_code": "040390783",
"telephone_number": "207-657-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CENTER RD",
"city": "GRAY",
"state": "ME",
"postal_code": "040395447",
"telephone_number": "207-657-6122"
}
],
"practiceLocations": [
{
"address_1": "130 Shaker Rd",
"address_purpose": "LOCATION",
"city": "Gray",
"state": "ME",
"postal_code": "040399633",
"country_code": "US",
"telephone_number": "207-657-5832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRATTARD",
"first_name": "HOLLY",
"middle_name": "J. A.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gray, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.