Holmes Regional Medical Center, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28612 Issued in FL

Legal business name

HOLMES REGIONAL MEDICAL CENTER, INC.

Practice address

1223 Gateway Dr
Health First Family Pharmacy
Melbourne, FL 32901-2607

Phone

(321) 434-7355

Fax

(321) 409-6861

NPI assigned

Aug 18, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Joseph G Felkner

Title

Evp/Cfo

Phone

(321) 434-5487

Specialties & licenses 2

Addresses

Other names 2

• Health First Family Pharmacy Doing business as
• Health First Family Pharmacy-Gateway Doing business as

Tax ID family

Dba Health First Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holmes Regional Medical Center Inc

  • Community/Retail Pharmacy
  • Melbourne, FL
  • NPI 1265835938
  NPD tax ID

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1265831150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SOUTH HICKORY STREET",
            "address_2": "HEALTH FIRST FAMILY PHARMACY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013224",
            "telephone_number": "321-434-7355",
            "fax_number": "321-434-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR",
            "address_2": "HEALTH FIRST FAMILY PHARMACY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-434-7355",
            "fax_number": "321-409-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FELKNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "321-434-5487",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health First Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health First Family Pharmacy-Gateway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Michele Holloway, ARNP-BC
• Pamela A Holm, MPA
• Holmes Regional Medical Center
• Holmes Regional Medical Center Inc
• Holmes Regional Medical Center, Inc.
• Holmes Regional Medical Center, Inc.
• Holmes Regional Medical Center, Inc.
• Holmes Regional Medical Center, Inc.
• Holmes Regional Medical Center, Inc.
• Holmes Regional Medical Center, Inc.

• Community/Retail Pharmacy in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.