Individual provider Active NPI

Sumer Hudson Holdsambeck, PHARMD

  • Pharmacist
  • Centreville, AL
National Provider Identifier
1174202089
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23048 Issued in AL
Practice address
1130 Walnut St
Centreville, AL 35042-2811
Phone
(205) 926-4821
Fax
(205) 926-7662
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23048 AL Primary

Addresses

Primary practice location

1130 Walnut St
Centreville, AL 35042-2811

Mailing address

2818 Birmingham Rd
Centreville, AL 35042-4772
Phone (205) 928-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
23048ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodstock Drug Inc Pharmacist Current Accepting new patients
Woodstock Drug Inc Current Accepting new patients
J&S Drugs, Inc. Pharmacist PastSince Jul 23, 2023 Accepting new patients
J & S Drugs, Inc PastSince Jul 23, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1174202089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 BIRMINGHAM RD",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350424772",
            "telephone_number": "205-928-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WALNUT ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422811",
            "telephone_number": "205-926-4821",
            "fax_number": "205-926-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDSAMBECK",
        "first_name": "SUMER",
        "middle_name": "HUDSON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "23048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.