Kelsey Rice Holt, PHARMD
Individual provider Active NPI Pharmacist · Colquitt, GA
NPI 1194390435 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1194390435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH028757 (GA)
- Practice address
- 215 W Main St
Colquitt, GA 39837-3407 - Phone
- (229) 600-0524
- Fax
- (229) 600-0534
- NPI assigned
- May 20, 2021
- 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 |
|---|---|---|---|
| RPH028757 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colquitt Pharmacy LLC | Current |
Accepting new patients |
Locations
215 W Main St
Colquitt, GA 39837
Phone (229) 600-0524
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH028757 | GA | Yes |
Addresses
Primary practice location
215 W Main St
Colquitt, GA 39837-3407
Mailing address
13 Joe Shingler Rd
Colquitt, GA 39837-5906
Phone (229) 724-3303
Other providers in Colquitt, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 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.