NSPB Corp Dba Holiday Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

60003294A Issued in IN

Legal business name

NSPB CORP DBA HOLIDAY PHARMACY

Practice address

1202 W Buena Vista Rd
Evansville, IN 47710-5185

Phone

(812) 429-0711

Fax

(812) 429-1784

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Michael L McFadden, R,PH.

Title

Manager

Phone

(812) 429-0711

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Holiday Pharmacy Doing business as

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225179682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W BUENA VISTA RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105185",
            "telephone_number": "812-429-0711",
            "fax_number": "812-429-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W BUENA VISTA RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105185",
            "telephone_number": "812-429-0711",
            "fax_number": "812-429-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSPB CORP DBA HOLIDAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-429-0711",
        "authorized_official_credential": "R,PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60003294A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1516523",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "60003294A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holiday Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Evansville, IN
• Providers in Evansville, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.