Active NPI
Jeffrey Holm
- Pharmacist
- Charlotte, MI
National Provider Identifier
1477039725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302042846
- Practice address
- 1167 E Clinton TRL
Charlotte, MI 48813-7318 - Phone
- (517) 541-9210
- NPI assigned
- Jul 18, 2018
- Last updated
- Oct 25, 2019
- 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 | 5302042846 | MI | Primary |
Addresses
Primary practice location
1167 E Clinton TRL
Charlotte, MI 48813-7318
Mailing address
1167 E Clinton TRL
Charlotte, MI 48813-7318
Phone (517) 541-9210
Other practice location 1
605 North Ave
Battle Creek, MI 49017-3230
Phone (269) 660-1198
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 |
|---|---|---|---|
| 5302042846 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Meijer Inc | Past | Accepting new patients |
Organizations & group practices 4
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": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1477039725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 E CLINTON TRL",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488137318",
"telephone_number": "517-541-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 E CLINTON TRL",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488137318",
"telephone_number": "517-541-9210"
}
],
"practiceLocations": [
{
"address_1": "605 North Ave",
"address_purpose": "LOCATION",
"city": "Battle Creek",
"state": "MI",
"postal_code": "490173230",
"country_code": "US",
"telephone_number": "269-660-1198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLM",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-18",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302042846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, MI
- Julia Mary Henderson, OTD, OTR/L
- Kelli Heyink, PT,DPT
- Jessica Beth Hillard, PHARMD
- Stephanie Hilliker, FNP
- Stacey R Hinton, FNP-C
- Hometown Medical Supplies
- Horizon Counseling & Consulting Services, PC
- Sherman W. Horn II, M.D.
- Hugh J Lindsey MD PLLC (Capital Area Surgeons)
- Cynthia Anne Hutchinson, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.