Individual provider Active NPI

Mark Holland, PHARMD

  • Pharmacist
  • Little Rock, AR
National Provider Identifier
1245929934
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD14360 Issued in AR
Practice address
11621 Rainwood Rd Ste 7
Little Rock, AR 72212-3947
Phone
(803) 447-1959
NPI assigned
May 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42005 TN
Pharmacist 183500000X PD14360 AR Primary

Addresses

Primary practice location

11621 Rainwood Rd Ste 7
Little Rock, AR 72212-3947

Mailing address

4210 Forest Dale Dr
Little Rock, AR 72223-4610
Phone (803) 447-1959

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

LicenseStateTypeSpecialty
PD14360ARMDPharmacist
42005TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Moss Holland Enterprises LLC CurrentSince May 14, 2023 Accepting new patients
Moss Holland Enterprises LLC PastSince May 14, 2023 Accepting new patients

Locations

11621 Rainwood Rd
Ste 7
Little Rock, AR 72212
Phone (501) 222-1002

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1245929934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 FOREST DALE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234610",
            "telephone_number": "803-447-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 RAINWOOD RD STE 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123947",
            "telephone_number": "803-447-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "42005",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD14360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.