NPIMap

Organization Active NPI

Holdaway Medical Services, LLC

  • Pharmacy
  • Louisville, KY
National Provider Identifier
1104027978
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P07162 Issued in KY
Legal business name
HOLDAWAY MEDICAL SERVICES, LLC
Practice address
11305 Bluegrass Pkwy
Louisville, KY 40299-2347
Phone
(502) 266-0092
Fax
(502) 266-9736
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Jeffrey West
Title
Ceo
Phone
(502) 266-0092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P07162 KY Primary

Addresses

Primary practice location

11305 Bluegrass Pkwy
Louisville, KY 40299-2347

Mailing address

11305 Bluegrass Pkwy
Louisville, KY 40299-2347
Phone (502) 266-0092

National Provider Directory

National Provider Directory
Tax ID family
Holdaway Medical Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11305 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 266-0092

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1104027978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11305 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992347",
            "telephone_number": "502-266-0092",
            "fax_number": "502-266-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11305 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992347",
            "telephone_number": "502-266-0092",
            "fax_number": "502-266-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDAWAY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-266-0092"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P07162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

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