Holiday RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005095 Issued in AZ

Legal business name

HOLIDAY RX INC

Doing business as

Holiday Rx Inc

Practice address

303 E Baseline Rd
103
Phoenix, AZ 85042-6530

Phone

(602) 276-5821

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Lance Katsuocuzakao

Title

Vice President

Phone

(310) 738-9881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holiday Rx Inc Doing business as

Tax ID family

Holiday RX Inc2 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.

• Holiday RX Inc

  • Clinic/Center
  • Houston, TX
  • NPI 1750541371
  NPD tax ID

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1063652584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 VIA MARINA APT 819",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BASELINE RD",
            "address_2": "103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426530",
            "telephone_number": "602-276-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "KATSUOCUZAKAO",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-738-9881"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0355962",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holiday Rx Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph L Holguin, MA, LISAC
• Maria Holguin, M.ED., BCBA, LBA
• Selina Holguin
• Victor Alonso Holguin
• Vivianna Holguin
• Charisse L Holiday, RD
• Holistic Esthetics LLC
• Holistic Healthcare LLC
• Holistic Lactation LLC
• Holistic Light Services

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.