Active NPI
Scott Holle
- Pharmacist
- Enid, OK
National Provider Identifier
1639327596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12574
- Practice address
- 110 N Oakwood Rd
Enid, OK 73703-4946 - Phone
- (580) 233-1202
- NPI assigned
- Sep 4, 2008
- Last updated
- Sep 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 12574 | OK | Primary |
Addresses
Primary practice location
110 N Oakwood Rd
Enid, OK 73703-4946
Mailing address
110 N Oakwood Rd
Enid, OK 73703-4946
Phone (580) 233-1202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12574 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Pharmacy LLC | Past | Accepting new patients | |
| Evans Pharmacy LLC | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1639327596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N OAKWOOD RD",
"city": "ENID",
"state": "OK",
"postal_code": "737034946",
"telephone_number": "580-233-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N OAKWOOD RD",
"city": "ENID",
"state": "OK",
"postal_code": "737034946",
"telephone_number": "580-233-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLE",
"first_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.