Individual provider Active NPI

Jacqueline Hollan, PHARMACIST

  • Ambulatory Care Pharmacist
  • Whitehall, PA
National Provider Identifier
1295336352
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
RP032945L Issued in PA
Practice address
2601 Macarthur Rd
Whitehall, PA 18052-3818
Phone
(610) 266-9375
Fax
(610) 266-9423
NPI assigned
Nov 5, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X RP032945L PA Primary

Addresses

Primary practice location

2601 Macarthur Rd
Whitehall, PA 18052-3818

Mailing address

5759 Nottingham CT
Laurys Station, PA 18059-1014
Phone (610) 509-5971

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

State licenses

LicenseStateTypeSpecialty
RP032945LPAMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1295336352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5759 NOTTINGHAM CT",
            "city": "LAURYS STATION",
            "state": "PA",
            "postal_code": "180591014",
            "telephone_number": "610-509-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 MACARTHUR RD",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523818",
            "telephone_number": "610-266-9375",
            "fax_number": "610-266-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAN",
        "first_name": "JACQUELINE",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP032945L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.