Robert William Holt
Individual provider Active NPI Geriatric Pharmacist · N Little Rock, AR
NPI 1245812346 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1245812346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Pharmacist 1835G0303X
- License
- AR08480 (AR)
- Practice address
- 58 Dove Creek Cir
N Little Rock, AR 72116-6402 - Phone
- (501) 258-4412
- NPI assigned
- Apr 27, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR08480 | AR | MD | Geriatric Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | AR08480 | AR | |
| Geriatric Pharmacist | 1835G0303X | AR08480 | AR | Yes |
Addresses
Primary practice location
58 Dove Creek Cir
N Little Rock, AR 72116-6402
Mailing address
58 Dove Creek Cir
N Little Rock, AR 72116-6402
Phone (501) 258-4412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR08480 | Other | AR | ARKANSAS STATE BOARD OF PHARMACY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert@clinicalconceptsrx.com | Direct |
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All providers in N Little Rock, AR · Geriatric Pharmacist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.