Individual provider Active NPI

Robert David Holbrook, PHARMD

  • Pharmacist
  • Johnson City, TN
National Provider Identifier
1346497351
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
09845 Issued in TN
Practice address
880 Boones Station Rd
Johnson City, TN 37615-4402
Phone
(423) 328-3446
Fax
(423) 328-3461
NPI assigned
Aug 20, 2008
Last updated
May 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 09845 TN Primary

Addresses

Primary practice location

880 Boones Station Rd
Johnson City, TN 37615-4402

Mailing address

1374 Weaver Branch Rd
Piney Flats, TN 37686-3716
Phone (276) 298-9157

Other identifiers 1

IdentifierTypeStateIssuer
09845OtherTNBOARD OF PHARMACY

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

LicenseStateTypeSpecialty
09845TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nu-Liferx CurrentSince May 4, 2025 Accepting new patients

Locations

880 Boones Station Rd
Johnson City, TN 37615
Phone (423) 722-3100

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.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1346497351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 WEAVER BRANCH RD",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376863716",
            "telephone_number": "276-298-9157",
            "fax_number": "423-328-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BOONES STATION RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154402",
            "telephone_number": "423-328-3446",
            "fax_number": "423-328-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "09845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "09845",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.