Individual provider Active NPI

Hollie Shelton Fletcher, PHARM.D.

  • Pharmacist
  • Gulf Breeze, FL
National Provider Identifier
1598060451
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45808 Issued in FL
Practice address
1177 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835
Phone
(850) 677-9340
Fax
(850) 677-9087
NPI assigned
Jan 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45808 FL Primary

Addresses

Primary practice location

1177 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835

Mailing address

1161 Seabreeze LN
Gulf Breeze, FL 32563-3339
Phone (706) 313-3387

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

LicenseStateTypeSpecialty
45808FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sims Pharmacy LLC CurrentSince Oct 4, 2020 Accepting new patients
Sims Pharmacy LLC CurrentSince Mar 27, 2022 Accepting new patients

Locations

1177 Gulf Breeze Pkwy
Gulf Breeze, FL 32561
Phone (850) 677-9340

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1598060451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 SEABREEZE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633339",
            "telephone_number": "706-313-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614835",
            "telephone_number": "850-677-9340",
            "fax_number": "850-677-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "HOLLIE",
        "middle_name": "SHELTON",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "45808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.