Active NPI
Amanda Gail Holloman
- Pharmacist
- Columbia, SC
National Provider Identifier
1245758887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37354
- Practice address
- 6021 St. Andrews Road
Columbia, SC 29212 - Phone
- (803) 798-2703
- NPI assigned
- Sep 4, 2017
- Sex
- Female
- 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 | 37354 | SC | Primary |
Addresses
Primary practice location
6021 St. Andrews Road
Columbia, SC 29212
Mailing address
237 Cinnamon Hills Lane
Lexington, SC 29072
Phone (864) 556-6493
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37354 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504483200000",
"number": "1245758887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 CINNAMON HILLS LANE",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "864-556-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 ST. ANDREWS ROAD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29212",
"telephone_number": "803-798-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOMAN",
"first_name": "AMANDA",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-04",
"last_updated": "2017-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.