Active NPI
David Kenneth Holdenried, PHARMD
- Pharmacist
- Osceola, MO
National Provider Identifier
1336490515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043617
- Practice address
- 700 Giesler Rd
Osceola, MO 64776-6279 - Phone
- (417) 646-5046
- NPI assigned
- Sep 27, 2012
- Last updated
- Sep 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043617 | MO | Primary |
Addresses
Primary practice location
700 Giesler Rd
Osceola, MO 64776-6279
Mailing address
PO Box 372
Osceola, MO 64776-0372
Phone (417) 861-8795
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 |
|---|---|---|---|
| 043617 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1336490515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 372",
"city": "OSCEOLA",
"state": "MO",
"postal_code": "647760372",
"telephone_number": "417-861-8795",
"fax_number": "417-646-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 GIESLER RD",
"city": "OSCEOLA",
"state": "MO",
"postal_code": "647766279",
"telephone_number": "417-646-5046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDENRIED",
"first_name": "DAVID",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osceola, MO
- Crystal Marie Fosnow, RDH
- Friends of St. Clair County, Inc. (Clearview Care Center)
- Ursula L Fuller, APRN, BC
- Golden Valley Memorial Hospital District (Golden Valley Medical - Osceola)
- Jeremy Lee Hicks, LMSW
- Neil E Hoyal, M.D., D.O.
- KB Osceola Drug LLC (Evans Drugs)
- Jill Nicole Keister
- Lester E Cox Medical Centers (Ferrell-Duncan Clinic)
- Jace David Moore, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.