Individual provider Active NPI

Brianna Lee Holmes, PHARMD

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1265901920
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19996 Issued in NV
Practice address
2151 Peachford Rd
Atlanta, GA 30338-6599
Phone
(770) 455-3200
NPI assigned
Nov 24, 2018
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19996 NV Primary

Addresses

Primary practice location

2151 Peachford Rd
Atlanta, GA 30338-6599

Mailing address

109 Newry Dr
Atlanta, GA 30349-8111

Other practice location 1

15301 Warren Shingle Rd
Beale AFB, CA 95903-1905
Phone (530) 634-4950

Other practice location 2

1400 S Lamb Blvd
Las Vegas, NV 89104-5416
Phone (702) 431-5004

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
19996NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walmart Inc. Past Accepting new patients
9TH Medgrp-Beale PastSince Sep 1, 2020 Accepting new patients
Walmart Inc. Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1265901920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NEWRY DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 PEACHFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386599",
            "telephone_number": "770-455-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15301 Warren Shingle Rd",
            "address_purpose": "LOCATION",
            "city": "Beale AFB",
            "state": "CA",
            "postal_code": "959031905",
            "country_code": "US",
            "telephone_number": "530-634-4950",
            "fax_number": "530-634-4653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Lamb Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891045416",
            "country_code": "US",
            "telephone_number": "702-431-5004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "BRIANNA",
        "middle_name": "LEE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-24",
        "last_updated": "2022-11-03",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.