Holloway Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.007057-IR Issued in LA

Legal business name

HOLLOWAY PHARMACY LLC

Practice address

12805 Highway 28 E
Ste a
Pineville, LA 71360-0734

Phone

(318) 466-3113

Fax

(318) 466-1441

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Louis Willis, PHARM DNPI 1275082455

Title

Owner/Pharmacist

Phone

(318) 466-3113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Louis Willis, PHARMD

  • Pharmacist
  • Pineville, LA
  • NPI 1275082455
  NPD Authorized official

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1285024323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 HIGHWAY 28 E",
            "address_2": "STE A",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713600734",
            "telephone_number": "318-466-3113",
            "fax_number": "318-466-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 HIGHWAY 28 E",
            "address_2": "STE A",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713600734",
            "telephone_number": "318-466-3113",
            "fax_number": "318-466-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLOWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "318-466-3113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007057-IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Franks Hines, NURSE PRACTITIONER
• Trent Hines
• Ginger Renae Hisaw, MAMFC, LMFT
• Brittany Hoang
• Deena Holley, COTA
• Holloway Rural Medical Clinic LLC.
• Joanna Carole Holton, M.D.
• Hometown Healthcare, LLC
• Hope Medical LLC
• Cameron Andrew Howard, CPHT

• Community/Retail Pharmacy in Pineville, LA
• Providers in Pineville, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.