Holladay Healthcare, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00093 Issued in NC

Legal business name

HOLLADAY HEALTHCARE, INC.

Practice address

410 Harvey St
Winston Salem, NC 27103-1603

Phone

(336) 760-3444

Fax

(336) 760-2769

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James G Swaim

Title

VP of Operations

Phone

(336) 760-2111

Specialties & licenses 1

Addresses

Other identifiers 1

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

  dba WhiteStone Pharmacy

  • Long Term Care Pharmacy
  • Greensboro, NC
  • NPI 1306906565
  NPD tax ID

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346347739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 HARVEY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031603",
            "telephone_number": "336-760-3444",
            "fax_number": "336-760-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HARVEY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031603",
            "telephone_number": "336-760-3444",
            "fax_number": "336-760-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWAIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "336-760-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Holdren
• Elizabeth Ashley Holdren, LMBT 15683
• Vance Holdsclaw, PHARM.D.
• Jacquelyn Rose Holjencin, PA-C
• Sara Holka
• Holladay Healthcare, Inc.
• Holladay Medicorp, Inc.
• Stephanie Pospishil Holladay, BCABA
• Amy Underwood Holland, LCMHCA, MA
• David Vincent Holland, DDS

• Durable Medical Equipment & Medical Supplies in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.