Alex Clifford Holmes, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18825-40 Issued in WI

Practice address

607 Park Ave
Beaver Dam, WI 53916-2201

Phone

(920) 356-0148

NPI assigned

Feb 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Beaver Dam, WI
  • NPI 1124210166
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1194358903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162201",
            "telephone_number": "920-356-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162201",
            "telephone_number": "920-356-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ALEX",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18825-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jawana Hendrix
• Chancelor Lucas Hernandez, MA, ATC, LAT
• Teresa Mary Hill, RD
• Francesca Hoch
• Amber Elizabeth Holder
• Amy Lee Holwerda, M.ED CCC-SLP
• Jasmin Rane Horne, LPC-IT
• Jodi Carol Hougan, PTA
• Hailey Hughes
• Katherine Marie Hulbert, LCSW

• Pharmacist in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.