Holladay Healthcare,Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

NC08240 Issued in NC

Legal business name

HOLLADAY HEALTHCARE,INC

Practice address

700 S Holden Rd
Greensboro, NC 27407-2321

Phone

(336) 547-2988

Fax

(336) 218-0014

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Susie Brown Tickle

Title

Director of Pharmacy Operations

Phone

(336) 760-3446

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WhiteStone Pharmacy Doing business as

Tax ID family

Holladay Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holladay Healthcare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Winston Salem, NC
  • NPI 1346347739
  NPD tax ID

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1306906565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HOLDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072321",
            "telephone_number": "336-547-2988",
            "fax_number": "336-218-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HOLDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072321",
            "telephone_number": "336-547-2988",
            "fax_number": "336-218-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY HEALTHCARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "TICKLE",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "336-760-3446"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "NC08240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhiteStone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holding Space Counseling PLLC
• Nai Tina Hole
• Holistic Nursing Group
• Holistic Services Inc
• Holistic Touch Day Spa
• Edward G. Hollan, OTR/L
• Ayana Linette Holland
• Genesis Holland
• Gina M Holland, LPT
• Jessica Holland

• Long Term Care Pharmacy in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.