Active NPI
Roger W Holmes
- Pharmacist
- Palestine, TX
National Provider Identifier
1265218853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33510
- Practice address
- 1919 S Loop 256
Palestine, TX 75801-5915 - Phone
- (903) 729-6055
- NPI assigned
- Sep 7, 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 | 33510 | TX | Primary |
Addresses
Primary practice location
1919 S Loop 256
Palestine, TX 75801-5915
Mailing address
PO Box 1483
Palestine, TX 75802-1483
Phone (806) 336-9326
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 |
|---|---|---|---|
| 33510 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1265218853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1483",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758021483",
"telephone_number": "806-336-9326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S LOOP 256",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758015915",
"telephone_number": "903-729-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "ROGER",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "33510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.