Organization Active NPI

Holley-Navarre Pharmacy & Gifts LLC

  • Community/Retail Pharmacy
  • Navarre, FL
National Provider Identifier
1639793276
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOLLEY-NAVARRE PHARMACY & GIFTS LLC
Practice address
8440 Nevada St.
Navarre, FL 32566
Phone
(850) 359-6619
Fax
(850) 684-1049
NPI assigned
May 29, 2020
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Dr. Jerry Dale Sherrill, PHARM DNPI 1952610727
Title
Owner / Manager
Phone
(850) 359-6619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

8440 Nevada St.
Navarre, FL 32566

Mailing address

8440 Nevada St
Navarre, FL 32566-9284
Phone (850) 359-6619

Other identifiers 1

IdentifierTypeStateIssuer
108865500MedicaidFL

National Provider Directory

National Provider Directory

Locations

8440 Nevada St
Navarre, FL 32566
Phone (850) 359-6619

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1639793276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 NEVADA ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325669284",
            "telephone_number": "850-359-6619",
            "fax_number": "850-684-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 NEVADA ST.",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-359-6619",
            "fax_number": "850-684-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLEY-NAVARRE PHARMACY & GIFTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "850-359-6619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108865500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.