Holly Ackerman, PHARMD
Individual provider Active NPI Pharmacist · Landrum, SC
NPI 1124376793 · NPPES record last updated Jul 15, 2013
Key facts
- NPI
- 1124376793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10734 (SC)
- Practice address
- 1851 Highway 14 E
Landrum, SC 29356-9698 - Phone
- (864) 457-4598
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 17409 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17409 | NC | |
| Pharmacist | 183500000X | 10734 | SC | Yes |
Addresses
Primary practice location
1851 Highway 14 E
Landrum, SC 29356-9698
Mailing address
1851 Highway 14 E
Landrum, SC 29356-9698
Phone (864) 457-4598
Other providers in Landrum, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2013. 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.