Active NPI
Jane Douglas Hollis, PHARM.D.
- Pharmacist
- Garberville, CA
National Provider Identifier
1487727194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45454
- Practice address
- 875 Redwood Dr
Garberville, CA 95542-3106 - Phone
- (707) 923-2461
- NPI assigned
- Nov 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45454 | CA | Primary |
Addresses
Primary practice location
875 Redwood Dr
Garberville, CA 95542-3106
Mailing address
PO Box 967
Redway, CA 95560-0967
Phone (707) 407-7868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH45454 | Other | CA | CALIFORNIA |
Other names 1
- Jane D Douglas
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 |
|---|---|---|---|
| 45454 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1487727194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "REDWAY",
"state": "CA",
"postal_code": "955600967",
"telephone_number": "707-407-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 REDWOOD DR",
"city": "GARBERVILLE",
"state": "CA",
"postal_code": "955423106",
"telephone_number": "707-923-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "JANE",
"middle_name": "DOUGLAS",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA",
"identifier": "RPH45454",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "DOUGLAS",
"middle_name": "D",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Garberville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.