Organization Active NPI

Hollons Panorama Pharmacy Inc

  • Community/Retail Pharmacy
  • Anderson, IN
National Provider Identifier
1215914700
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60003770 Issued in IN
Legal business name
HOLLONS PANORAMA PHARMACY INC
Doing business as
HOLLONS PANORMA PHARMACY
Practice address
2517 E 10TH St
Anderson, IN 46012-4409
Phone
(765) 644-8851
Fax
(336) 861-0173
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Sandre Butler
Title
Manager
Phone
(765) 644-8851

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 60003770 IN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2517 E 10TH St
Anderson, IN 46012-4409

Mailing address

2517 E 10TH St
Anderson, IN 46012-4409
Phone (765) 644-8851

Other identifiers 2

IdentifierTypeStateIssuer
100277250MedicaidIN
1505392OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HOLLONS PANORMA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2517 E 10th St
Anderson, IN 46012
Phone (765) 644-8851

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1215914700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 E 10TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124409",
            "telephone_number": "765-644-8851",
            "fax_number": "336-861-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 E 10TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124409",
            "telephone_number": "765-644-8851",
            "fax_number": "336-861-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLONS PANORAMA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "SANDRE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "765-644-8851"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60003770",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100277250",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1505392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLLONS PANORMA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.