Chad Holley, PHARMD
Individual provider Active NPI Pharmacist · Leighton, AL
NPI 1104596972 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1104596972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15903 (AL)
- Practice address
- 2230 Railroad St
Leighton, AL 35646-3819 - Phone
- (256) 446-6527
- Fax
- (256) 446-2585
- NPI assigned
- Sep 14, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15903 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15903 | AL | Yes |
Addresses
Primary practice location
2230 Railroad St
Leighton, AL 35646-3819
Mailing address
2230 Railroad St
Leighton, AL 35646-3819
Phone (256) 446-6527
Other providers in Leighton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.