Active NPI
Yvette Grando Holman, PHARMD, BCPS
- Pharmacotherapy Pharmacist
- Portland, OR
National Provider Identifier
1235621525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 8817
- Practice address
- 1311 NW 21St Ave
Portland, OR 97209-1610 - Phone
- (503) 415-4701
- NPI assigned
- Jun 1, 2018
- Last updated
- Jun 1, 2018
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 8817 | OR | Primary |
Addresses
Primary practice location
1311 NW 21St Ave
Portland, OR 97209-1610
Mailing address
1703 NW Remarkable Dr
Bend, OR 97703-5483
Phone (360) 607-8100
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8817 | OR | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1235621525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 NW REMARKABLE DR",
"city": "BEND",
"state": "OR",
"postal_code": "977035483",
"telephone_number": "360-607-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 NW 21ST AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091610",
"telephone_number": "503-415-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "YVETTE",
"middle_name": "GRANDO",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OR",
"license": "8817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.