Individual provider Active NPI

Andrea Ruth Holmes, RPH

  • Pharmacist
  • Plains, MT
National Provider Identifier
1386086452
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA-PHA-LIC-3487 Issued in MT
Practice address
214 E Railroad
Plains, MT 59859-0609
Phone
(406) 826-3552
Fax
(406) 826-3599
NPI assigned
Jul 18, 2013
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA-PHA-LIC-3487 MT Primary

Addresses

Primary practice location

214 E Railroad
Plains, MT 59859-0609

Mailing address

PO Box 609
Plains, MT 59859-0609
Phone (406) 826-3552

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
PHA-PHA-LIC-3487MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mineral Drug, Inc Current Accepting new patients
Plains Drug Inc Current Accepting new patients
Thompson Falls Family Pharmacy, Inc Current Accepting new patients
Plains Rexall Drug Past Accepting new patients

Organizations & group practices 4

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1386086452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598590609",
            "telephone_number": "406-826-3552",
            "fax_number": "406-826-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E RAILROAD",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598590609",
            "telephone_number": "406-826-3552",
            "fax_number": "406-826-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ANDREA",
        "middle_name": "RUTH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-3487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.