Active NPI
Diana Cecil Holland
- Pharmacist
- Wilmington, NC
National Provider Identifier
1407572415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30743
- Practice address
- 4600 Oleander Dr
Wilmington, NC 28403-5149 - Phone
- (910) 392-4549
- Fax
- (401) 269-4684
- NPI assigned
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 30743 | NC | Primary |
Addresses
Primary practice location
4600 Oleander Dr
Wilmington, NC 28403-5149
Mailing address
221 Habersham Ave
Rocky Point, NC 28457-3305
Phone (276) 698-8441
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30743 | NC | MD | 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": "1407572415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 HABERSHAM AVE",
"city": "ROCKY POINT",
"state": "NC",
"postal_code": "284573305",
"telephone_number": "276-698-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 OLEANDER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035149",
"telephone_number": "910-392-4549",
"fax_number": "401-269-4684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "DIANA",
"middle_name": "CECIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
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.