Holts Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE005859 Issued in GA

Legal business name

HOLTS PHARMACY INC

Practice address

406 Grassdale Rd
Cartersville, GA 30121-1975

Phone

(770) 382-5757

Fax

(770) 382-6757

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Larry Holt, RPH

Title

Pres

Phone

(770) 382-5757

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HOLTS PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1558482000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 GRASSDALE RD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301211975",
            "telephone_number": "770-382-5757",
            "fax_number": "770-382-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 GRASSDALE RD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301211975",
            "telephone_number": "770-382-5757",
            "fax_number": "770-382-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "770-382-5757",
        "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": "GA",
            "license": "PHRE005859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00305885A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1125120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLTS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn Paul Hittel, MD
• Dawson Cole Holbrook, PA-S
• Gail V Holliday, CRNA
• James Holliday Jr.
• Jessica Bolton Holt, LPC
• Home Medical Professionals
• Home Medical Systems Inc
• Homestead Hospice of Cartersville, LLC
• Homestead Hospice of Cartersville, LLC
• Kara Honeycutt

• Community/Retail Pharmacy in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.