Active NPI
Madison Holmes, PHARMD
- Pharmacist
- Crestview, FL
National Provider Identifier
1245853159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59300
- Practice address
- 153 W Woodruff Ave
Crestview, FL 32536-3526 - Phone
- (850) 689-7916
- NPI assigned
- May 26, 2020
- 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 | PS59300 | FL | Primary |
Addresses
Primary practice location
153 W Woodruff Ave
Crestview, FL 32536-3526
Mailing address
153 W Woodruff Ave
Crestview, FL 32536-3526
Phone (850) 368-9791
Other practice location 1
5151 N 9th Ave
Pensacola, FL 32504-8721
Phone (850) 416-7000
Other names 1
- Madison Como
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Phone | Direct |
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 |
|---|---|---|---|
| PS59300 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688256000000",
"number": "1245853159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 W WOODRUFF AVE",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325363526",
"telephone_number": "850-368-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 W WOODRUFF AVE",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325363526",
"telephone_number": "850-689-7916"
}
],
"practiceLocations": [
{
"address_1": "5151 N 9th Ave",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325048721",
"country_code": "US",
"telephone_number": "850-416-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "MADISON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2023-07-02",
"certification_date": "2023-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Phone",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "153 W Woodruff Ave",
"city": "Crestview",
"state": "FL",
"country_code": "US",
"postal_code": "325363526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MADISON",
"last_name": "COMO",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.