Individual provider Active NPI

Holly L Yanick, RPH

  • Pharmacist
  • Huntingdon Valley, PA
National Provider Identifier
1356662456
Registry record updated Jun 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP041248L Issued in PA
Practice address
785 Huntingdon Pike
Huntingdon Valley, PA 19006-8362
Phone
(215) 379-2725
Fax
(215) 663-1622
NPI assigned
Jun 13, 2010
Last updated
Jun 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP041248L PA Primary

Addresses

Primary practice location

785 Huntingdon Pike
Huntingdon Valley, PA 19006-8362

Mailing address

1806 Valley Glen Rd
Elkins Park, PA 19027-1755
Phone (215) 379-2725

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

LicenseStateTypeSpecialty
RP041248LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276387200000",
    "number": "1356662456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 VALLEY GLEN RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271755",
            "telephone_number": "215-379-2725",
            "fax_number": "215-663-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 HUNTINGDON PIKE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068362",
            "telephone_number": "215-379-2725",
            "fax_number": "215-663-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANICK",
        "first_name": "HOLLY",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-13",
        "last_updated": "2010-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP041248L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2010; 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.