Active NPI
Hollons Panorama Pharmacy Inc
- Community/Retail Pharmacy
- Anderson, IN
National Provider Identifier
1215914700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 60003770
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100277250 | Medicaid | IN | |
| 1505392 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- HOLLONS PANORMA PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.