Active NPI
Holden T Graves, PHARMD
- Pharmacist
- Dallas, TX
National Provider Identifier
1366908865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60914
- Practice address
- 1340 Empire Central Dr
Dallas, TX 75247-4022 - Phone
- (214) 867-6809
- NPI assigned
- Feb 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD14038 | AR | |
| Pharmacist | 183500000X | 60914 | TX | Primary |
Addresses
Primary practice location
1340 Empire Central Dr
Dallas, TX 75247-4022
Mailing address
6608 Manzano St
McKinney, TX 75070-7372
Phone (479) 524-7672
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 |
|---|---|---|---|
| 60914 | TX | MD | Professional Counselor |
| PD14038 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1366908865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6608 MANZANO ST",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750707372",
"telephone_number": "479-524-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 EMPIRE CENTRAL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474022",
"telephone_number": "214-867-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "HOLDEN",
"middle_name": "T",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-20",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14038",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.