Active NPI
Jerry Holmes, PHARM.D.
- Geriatric Pharmacist
- Sigourney, IA
National Provider Identifier
1396461349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 18103
- Practice address
- 514 N Shuffleton St
Sigourney, IA 52591 - Phone
- (515) 334-4293
- Fax
- (800) 332-9548
- NPI assigned
- Oct 12, 2022
- Last updated
- Oct 12, 2022
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 18103 | IA | Primary |
Addresses
Primary practice location
514 N Shuffleton St
Sigourney, IA 52591
Mailing address
4225 Fleur Drive Ste 118
Des Moines, IA 50321
Phone (515) 334-4293
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 |
|---|---|---|---|
| 18103 | IA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1396461349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 FLEUR DRIVE STE 118",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50321",
"telephone_number": "515-334-4293",
"fax_number": "800-332-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 N SHUFFLETON ST",
"city": "SIGOURNEY",
"state": "IA",
"postal_code": "52591",
"telephone_number": "515-334-4293",
"fax_number": "800-332-9548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "JERRY",
"name_prefix": "Mr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "IA",
"license": "18103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sigourney, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.