Active NPI
Samantha Holmes, PHARMD
- Pharmacist
- Terre Haute, IN
National Provider Identifier
1306499512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26027689A
- Practice address
- 2021 Fort Harrison Rd
Terre Haute, IN 47804-1523 - Phone
- (812) 466-6052
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- 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 | 26027689A | IN | Primary |
Addresses
Primary practice location
2021 Fort Harrison Rd
Terre Haute, IN 47804-1523
Mailing address
79 E Rodighiero Ave
Terre Haute, IN 47805-1059
Phone (812) 583-0705
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 |
|---|---|---|---|
| 26027689A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1306499512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 E RODIGHIERO AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478051059",
"telephone_number": "812-583-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 FORT HARRISON RD",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478041523",
"telephone_number": "812-466-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "SAMANTHA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26027689A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.