Active NPI
Dennis L Holley, R.PH.
- Pharmacist
- Pensacola, FL
National Provider Identifier
1396719191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH12466
- Practice address
- 5507 North W Street
Pensacola, FL 32505-2435 - Phone
- (850) 432-2092
- Fax
- (850) 436-4033
- NPI assigned
- Feb 16, 2006
- Last updated
- Jul 8, 2007
- 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 | PH12466 | FL | Primary |
Addresses
Primary practice location
5507 North W Street
Pensacola, FL 32505-2435
Mailing address
5033 High Pointe Drive
Pensacola, FL 32505
Phone (850) 476-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH12466 | Other | FL | DPR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH12466 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marando Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396719191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5033 HIGH POINTE DRIVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32505",
"telephone_number": "850-476-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5507 NORTH W STREET",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325052435",
"telephone_number": "850-432-2092",
"fax_number": "850-436-4033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "DENNIS",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PH12466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPR",
"identifier": "PH12466",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.