Mariah Elizabeth Hollabaugh, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

2013024756 Issued in MO

Practice address

1500 North Oakland Avenue
Bolivar, MO 65613

Phone

(417) 328-6684

Fax

(417) 328-7018

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mariah Elizabeth Brandt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1093407017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NORTH OAKLAND AVENUE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "65613",
            "telephone_number": "417-328-6684",
            "fax_number": "417-328-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NORTH OAKLAND AVENUE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "65613",
            "telephone_number": "417-328-6684",
            "fax_number": "417-328-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLABAUGH",
        "first_name": "MARIAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MO",
            "license": "2013024756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "BRANDT",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy L Henry, SLP
• Julie Henson
• Jessica Hicks, AT
• Stephanie Higginbotham
• Mary Lynn Hogan, M.D.
• Home Court Advantage V
• Home Court Advantage, Inc.
• Home Court Advantage, Inc.
• Home Court Advantage, Inc.
• Rodney Hoover, CRNA

• Pharmacotherapy Pharmacist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Pharmacotherapy Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.