Active NPI
Chad Holley, PHARMD
- Pharmacist
- North Salt Lake, UT
National Provider Identifier
1306620679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6374984
- Practice address
- 669 W 900 N
North Salt Lake, UT 84054-2602 - Phone
- (888) 222-2956
- NPI assigned
- Aug 18, 2023
- 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 | 6374984 | UT | Primary |
Addresses
Primary practice location
669 W 900 N
North Salt Lake, UT 84054-2602
Mailing address
3704 S Arbroath LN
South Salt Lake, UT 84115-5022
Phone (801) 836-5893
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 |
|---|---|---|---|
| 6374984 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medquest Pharmacy | Past | Accepting new patients | |
| Med Quest Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Compounding Pharmacy
- North Salt Lake, UT
- NPI 1396787693
-
- Compounding Pharmacy
- North Salt Lake, UT
- NPI 1356601108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1306620679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 S ARBROATH LN",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841155022",
"telephone_number": "801-836-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 W 900 N",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840542602",
"telephone_number": "888-222-2956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "CHAD",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-18",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "6374984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.