Lee Ann Holland, RPH
Individual provider Active NPI Pharmacist · Pilot Mountain, NC
NPI 1376837229 · NPPES record last updated Jun 7, 2011
Key facts
- NPI
- 1376837229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8628 (NC)
- Practice address
- 204 W Main St
Pilot Mountain, NC 27041-9301 - Phone
- (336) 368-4747
- Fax
- (336) 368-1091
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8628 | NC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8628 | NC | Yes |
Addresses
Primary practice location
204 W Main St
Pilot Mountain, NC 27041-9301
Mailing address
204 W Main St
Pilot Mountain, NC 27041-9301
Phone (336) 368-4747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0865345 | Medicaid | NC |
Other providers in Pilot Mountain, NC
- Forsyth Memorial Hospital Inc
- Forsyth Memorial Hospital Inc
- Donna Goins
- Harrison Therapy, PLLC
- Michelle Hiatt
- Holly Springs Family Practice
- Stephanie Cheryl Johnson
- Samantha Smith Joyce
- Randall Scott Keith
- Kent N. Tucker,D.D.S.,P.a.
All providers in Pilot Mountain, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.