Active NPI
Dustin Charles Hollern, PHARM.D.
- Pharmacist
- Elkton, VA
National Provider Identifier
1265845465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202212629
- Practice address
- 14813 Spotswood TRL
Elkton, VA 22827-3024 - Phone
- (540) 298-2234
- NPI assigned
- Jun 4, 2014
- Last updated
- Jun 4, 2014
- 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 | 0202212629 | VA | Primary |
Addresses
Primary practice location
14813 Spotswood TRL
Elkton, VA 22827-3024
Mailing address
14813 Spotswood TRL
Elkton, VA 22827-3024
Phone (540) 298-2234
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 |
|---|---|---|---|
| 0202212629 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1265845465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14813 SPOTSWOOD TRL",
"city": "ELKTON",
"state": "VA",
"postal_code": "228273024",
"telephone_number": "540-298-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14813 SPOTSWOOD TRL",
"city": "ELKTON",
"state": "VA",
"postal_code": "228273024",
"telephone_number": "540-298-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLERN",
"first_name": "DUSTIN",
"middle_name": "CHARLES",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202212629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkton, VA
- Kesha D Gandhi
- Leslie S. Hall, RN, ENP
- Samantha Ann Hammer, COTA/L
- Harrisonburg Community Health Center (Community Health Center of Elkton)
- Peter Hill, NP
- Angela M Humpert, PT, DPT
- Janice L.Usnick, DMD & Craig W Flaherty, DDS PC (Elkton Family Dentistry)
- Journeys Crossing Assisted Living Facility
- Mary Johanna Fox Klein, MS CCC-SLP
- Adrienne J Koch, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.