Active NPI
Kelly L Hollstein, PHARMD
- Pharmacist
- Ankeny, IA
National Provider Identifier
1407974207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20403
- Practice address
- 2135 SE Delaware Ave
Ankeny, IA 50021-4592 - Phone
- (515) 964-7000
- Fax
- (515) 635-3053
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20403 | IA | Primary |
| Pharmacist | 183500000X | 12697 | NE |
Addresses
Primary practice location
2135 SE Delaware Ave
Ankeny, IA 50021-4592
Mailing address
8201 S 40TH St
Lincoln, NE 68516
Phone (402) 420-3541
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CVS.com |
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 |
|---|---|---|---|
| 12697 | NE | MD | Mental Health Counselor |
| 20403 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1407974207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 S 40TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68516",
"telephone_number": "402-420-3541",
"fax_number": "402-420-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 SE DELAWARE AVE",
"city": "ANKENY",
"state": "IA",
"postal_code": "500214592",
"telephone_number": "515-964-7000",
"fax_number": "515-635-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLSTEIN",
"first_name": "KELLY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20403",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12697",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CVS.com",
"affiliation": "N",
"address_1": "2135 SE Delaware Ave",
"city": "Ankeny",
"state": "IA",
"country_code": "US",
"postal_code": "500214592",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.