Active NPI
Gary Allen Holst, R.PH.
- Pharmacist
- Lenexa, KS
National Provider Identifier
1336352640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41592
- Practice address
- 11131 W 79TH St
Lenexa, KS 66214-1482 - Phone
- (913) 234-4664
- Fax
- (913) 234-4661
- NPI assigned
- May 7, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10795 | KS | |
| Pharmacist | 183500000X | 41592 | MO | Primary |
| Nutrition Support Pharmacist | 1835N1003X | 10795 | KS | |
| Nutrition Support Pharmacist | 1835N1003X | 41592 | MO | |
| Pharmacotherapy Pharmacist | 1835P1200X | 10795 | KS | |
| Pharmacotherapy Pharmacist | 1835P1200X | 41592 | MO | |
| Geriatric Pharmacist | 1835G0303X | 10795 | KS | |
| Geriatric Pharmacist | 1835G0303X | 41592 | MO |
Addresses
Primary practice location
11131 W 79TH St
Lenexa, KS 66214-1482
Mailing address
11131 W 79TH St
Lenexa, KS 66214-1482
Phone (913) 234-4664
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10795 | KS | MD | Nutrition Support Pharmacist |
| 41592 | MO | MD | Pharmacotherapy Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Lenexa, KS
- NPI 1437377140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336352640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11131 W 79TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141482",
"telephone_number": "913-234-4664",
"fax_number": "913-234-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11131 W 79TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141482",
"telephone_number": "913-234-4664",
"fax_number": "913-234-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLST",
"first_name": "GARY",
"middle_name": "ALLEN",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "10795",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "41592",
"primary": true
},
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "KS",
"license": "10795",
"primary": false
},
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "MO",
"license": "41592",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "KS",
"license": "10795",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MO",
"license": "41592",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "KS",
"license": "10795",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MO",
"license": "41592",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.