Active NPI
Mikel Lamar Holley, PHARMD
- Pharmacist
- North East, MD
National Provider Identifier
1285908244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22444
- Practice address
- 75 North East Plaza
North East, MD 21901-3617 - Phone
- (410) 287-3479
- NPI assigned
- Mar 8, 2012
- 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 | 22444 | MD | Primary |
Addresses
Primary practice location
75 North East Plaza
North East, MD 21901-3617
Mailing address
75 N East PLZ
North East, MD 21901-3617
Phone (410) 287-3479
Other practice location 1
9616 Harford Rd
Baltimore, MD 21234-2104
Phone (410) 663-7957
Other practice location 2
3005 Emmorton Rd
Abingdon, MD 21009-2023
Phone (410) 569-9870 ext. 10
Other practice location 3
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-2125
Other practice location 4
9621 Belair Rd
Baltimore, MD 21236-1105
Phone (410) 529-2864 ext. 771
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 |
|---|---|---|---|
| 22444 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1285908244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 N EAST PLZ",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219013617",
"telephone_number": "410-287-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 NORTH EAST PLAZA",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219013617",
"telephone_number": "410-287-3479"
}
],
"practiceLocations": [
{
"address_1": "9616 Harford Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212342104",
"country_code": "US",
"telephone_number": "410-663-7957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3005 Emmorton Rd",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "MD",
"postal_code": "210092023",
"country_code": "US",
"telephone_number": "410-569-9870 x10",
"fax_number": "410-569-5430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Upper Chesapeake Dr",
"address_purpose": "LOCATION",
"city": "Bel Air",
"state": "MD",
"postal_code": "210144324",
"country_code": "US",
"telephone_number": "443-643-2125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9621 Belair Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212361105",
"country_code": "US",
"telephone_number": "410-529-2864 x771",
"fax_number": "410-529-3984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLEY",
"first_name": "MIKEL",
"middle_name": "LAMAR",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North East, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.