Individual provider Active NPI

Carol Lynn Holtrey, RPH

  • Pharmacist
  • Mount Gilead, OH
National Provider Identifier
1316463599
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-3-14446 Issued in OH
Practice address
555 W Marion Rd # 800
Mount Gilead, OH 43338-1025
Phone
(419) 947-9134
Fax
(419) 947-1304
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-3-14446 OH Primary

Addresses

Primary practice location

555 W Marion Rd # 800
Mount Gilead, OH 43338-1025

Mailing address

6480 County Road 76
Mount Gilead, OH 43338-9436
Phone (419) 768-4753

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
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1316463599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 COUNTY ROAD 76",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389436",
            "telephone_number": "419-768-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W MARION RD # 800",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381025",
            "telephone_number": "419-947-9134",
            "fax_number": "419-947-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTREY",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-14446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.