John W Holladay, PHD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

7952 Issued in SC

Practice address

32 S Main St
Sumter, SC 29150-5245

Phone

(803) 773-8432

Fax

(803) 436-5533

NPI assigned

Mar 13, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Pharmacist

State licenses

Practice roles

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.

• Sumter Cut Rate Drug Store, LLC

  • Community/Retail Pharmacy
  • Sumter, SC
  • NPI 1770563231
  NPD (past)
• Sumter Cut Rate Drugstore II Inc

  • Community/Retail Pharmacy
  • Sumter, SC
  • NPI 1972750495
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205969219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291505245",
            "telephone_number": "803-773-8432",
            "fax_number": "803-436-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291505245",
            "telephone_number": "803-773-8432",
            "fax_number": "803-436-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PHARM LICENSE",
            "identifier": "7952",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Hodge
• Carol James Hodge Jr., COTA/L
• Lorie P Hodge, FNP-C
• Maritza Aminta Hogan, PH.D.
• Aubrey Rickard Holladay, NP
• Michelle W. Holland, MA, CACI
• Carolyn D Holliday, DMD
• Shaniquo D Holliday
• Beaunnia Holmes
• Christian Elizabeth-Mildred Holmes, LMSW

• Pharmacist in Sumter, SC
• Providers in Sumter, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.