Individual provider Active NPI

Jennifer Holderfield, PHARM.D

  • Pharmacist
  • Vestavia, AL
National Provider Identifier
1306121686
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11611 Issued in SC
Practice address
2868 Acton Rd FL 2
Vestavia, AL 35243-2502
Phone
(866) 702-8600
Fax
(866) 936-8777
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11611 SC Primary

Addresses

Primary practice location

2868 Acton Rd FL 2
Vestavia, AL 35243-2502

Mailing address

557 Riverwoods LDG
Helena, AL 35080-3494
Phone (803) 603-3546

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
11611SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1306121686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 RIVERWOODS LDG",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350803494",
            "telephone_number": "803-603-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 ACTON RD FL 2",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "866-702-8600",
            "fax_number": "866-936-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDERFIELD",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.