Organization Active NPI

Holt Pharmacy LLC

  • Community/Retail Pharmacy
  • Holt, MI
National Provider Identifier
1477968147
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010487 Issued in MI
Legal business name
HOLT PHARMACY LLC
Practice address
2291 Cedar St
Holt, MI 48842-1202
Phone
(517) 699-1544
Fax
(517) 699-1588
NPI assigned
Jun 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amna Khan, RPH
Title
Owner, Pic
Phone
(517) 699-1544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010487 MI Primary

Addresses

Primary practice location

2291 Cedar St
Holt, MI 48842-1202

Mailing address

2291 Cedar St
Holt, MI 48842-1202
Phone (517) 699-1544

Other identifiers 1

IdentifierTypeStateIssuer
2146500OtherPK

Other names 1

  • HOLT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2291 Cedar St
Holt, MI 48842
Phone (517) 699-1544

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1477968147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 CEDAR ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421202",
            "telephone_number": "517-699-1544",
            "fax_number": "517-699-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 CEDAR ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421202",
            "telephone_number": "517-699-1544",
            "fax_number": "517-699-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMNA",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "517-699-1544",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.