Active NPI
Holly M Swinehart, RPH
- Pharmacist
- Tarkio, MO
National Provider Identifier
1205162187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044524
- Practice address
- 411 Main St
Tarkio, MO 64491-1544 - Phone
- (660) 736-5512
- Fax
- (660) 736-4361
- NPI assigned
- Oct 27, 2009
- Last updated
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044524 | MO | Primary |
Addresses
Primary practice location
411 Main St
Tarkio, MO 64491-1544
Mailing address
27442 280 St
Fairfax, MO 64446-8104
Phone (660) 686-2886
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044524 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1205162187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27442 280 ST",
"city": "FAIRFAX",
"state": "MO",
"postal_code": "644468104",
"telephone_number": "660-686-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 MAIN ST",
"city": "TARKIO",
"state": "MO",
"postal_code": "644911544",
"telephone_number": "660-736-5512",
"fax_number": "660-736-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINEHART",
"first_name": "HOLLY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarkio, MO
- Northwest Missouri Learning Center, Inc. (The Learning Center)
- Northwest Missouri Living Center
- Glenn Robert Scott Jr., M.DIV., CAMS -LL
- Shopko Stores Operating Co LLC (Shopko Pharmacy 714)
- Summa Pharmacy
- Tarkio Hco, LLC (Tarkio Rehabilitation & Health Care)
- Tarkio Hco, LLC
- Tarkio R-1 School District
- Phebe Wright, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.