Active NPI
Angela Hollatz, RPH
- Pharmacist
- Bismarck, ND
National Provider Identifier
1548618564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH4304
- Practice address
- 1140 E Bismarck Expy
Bismarck, ND 58504-6603 - Phone
- (701) 255-7220
- Fax
- (701) 255-6029
- NPI assigned
- May 31, 2016
- 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 | RPH4304 | ND | Primary |
| Pharmacist | 183500000X | 114659 | MN |
Addresses
Primary practice location
1140 E Bismarck Expy
Bismarck, ND 58504-6603
Mailing address
1140 E Bismarck Expy
Bismarck, ND 58504-6603
Phone (701) 255-7220
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114659 | MN | MD | Pharmacist |
| RPH4304 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1548618564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 E BISMARCK EXPY",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585046603",
"telephone_number": "701-255-7220",
"fax_number": "701-255-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 E BISMARCK EXPY",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585046603",
"telephone_number": "701-255-7220",
"fax_number": "701-255-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLATZ",
"first_name": "ANGELA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH4304",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114659",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.