Active NPI
Nancy A Holleman, PHARM.D
- Pharmacist
- Conway, AR
National Provider Identifier
1528470176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD08724
- Practice address
- 2180 Ada Ave Ste 100
Conway, AR 72034-4014 - Phone
- (501) 255-3500
- Fax
- (501) 255-3434
- NPI assigned
- May 29, 2014
- Last updated
- Apr 11, 2025
- 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 | PD08724 | AR | Primary |
Addresses
Primary practice location
2180 Ada Ave Ste 100
Conway, AR 72034-4014
Mailing address
2180 Ada Ave Ste 100
Conway, AR 72034-4014
Phone (501) 255-3500
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 |
|---|---|---|---|
| PD08724 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Regional Medical Center, Inc | Current | Accepting new patients | |
| Gibson Sales LP | Past | Accepting new patients |
Locations
2180 Ada Ave
Ste 100
Conway, AR 72034
Phone (501) 255-3500
Organizations & group practices 2
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.
-
dba Conway Outpatient Pharmacy
- Community/Retail Pharmacy
- Conway, AR
- NPI 1558038653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1528470176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 ADA AVE STE 100",
"city": "CONWAY",
"state": "AR",
"postal_code": "720344014",
"telephone_number": "501-255-3500",
"fax_number": "501-255-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 ADA AVE STE 100",
"city": "CONWAY",
"state": "AR",
"postal_code": "720344014",
"telephone_number": "501-255-3500",
"fax_number": "501-255-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEMAN",
"first_name": "NANCY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-29",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD08724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.