Active NPI
Mark Howard Holshouser, PHD
- Pharmacist
- Advance, NC
National Provider Identifier
1396021994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 006792
- Practice address
- 1510 NC Highway 801 N
Advance, NC 27006-6704 - Phone
- (336) 940-2193
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 006792 | NC | Primary |
Addresses
Primary practice location
1510 NC Highway 801 N
Advance, NC 27006-6704
Mailing address
1510 NC Highway 801 N
Advance, NC 27006-6704
Phone (336) 940-2193
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006792 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1396021994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 NC HIGHWAY 801 N",
"city": "ADVANCE",
"state": "NC",
"postal_code": "270066704",
"telephone_number": "336-940-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 NC HIGHWAY 801 N",
"city": "ADVANCE",
"state": "NC",
"postal_code": "270066704",
"telephone_number": "336-940-2193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSHOUSER",
"first_name": "MARK",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "006792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Advance, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.