Active NPI
Benjamin Holley, PHARMD
- Pharmacist
- Athens, GA
National Provider Identifier
1235914821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030631
- Practice address
- 125 King Ave Ste 200
Athens, GA 30606-6710 - Phone
- (706) 369-4478
- NPI assigned
- Aug 30, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH030631 | GA | Primary |
Addresses
Primary practice location
125 King Ave Ste 200
Athens, GA 30606-6710
Mailing address
310 Classic Rd
Athens, GA 30606-0866
Phone (678) 787-0026
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 |
|---|---|---|---|
| RPH030631 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1235914821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CLASSIC RD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306060866",
"telephone_number": "678-787-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 KING AVE STE 200",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066710",
"telephone_number": "706-369-4478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "BENJAMIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.