Individual provider Active NPI

Neal Hollis

  • Pharmacist
  • Savannah, GA
National Provider Identifier
1366030603
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH031092 Issued in GA
Practice address
1080 King George Blvd
Savannah, GA 31419-9569
Phone
(912) 920-1500
Fax
(912) 920-6967
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH031092 GA Primary

Addresses

Primary practice location

1080 King George Blvd
Savannah, GA 31419-9569

Mailing address

1080 King George Blvd
Savannah, GA 31419-9569
Phone (912) 920-1500

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

State licenses

LicenseStateTypeSpecialty
RPH031092GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Drug, LLC CurrentSince Jan 10, 2021 Accepting new patients

Locations

1080 King George Blvd
Savannah, GA 31419
Phone (912) 920-1500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1366030603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 KING GEORGE BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199569",
            "telephone_number": "912-920-1500",
            "fax_number": "912-920-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 KING GEORGE BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199569",
            "telephone_number": "912-920-1500",
            "fax_number": "912-920-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "NEAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.