Holly May Stephan, PHARMD
Individual provider Active NPI Pharmacist · Tipton, IN
NPI 1629630819 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1629630819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26025506A (IN)
- Practice address
- 711 E Jefferson St
Tipton, IN 46072-1921 - Phone
- (765) 675-3400
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26025506A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26025506A | IN | Yes |
Addresses
Primary practice location
711 E Jefferson St
Tipton, IN 46072-1921
Mailing address
711 E Jefferson St
Tipton, IN 46072-1921
Phone (765) 675-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26025506A | Other | IN | INDIANA BOARD OF PHARMACY |
Other names
- Dr. Holly May Kampenga
Other providers in Tipton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.