Active NPI
Holley-Navarre Pharmacy & Gifts LLC
- Community/Retail Pharmacy
- Navarre, FL
National Provider Identifier
1639793276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry Dale Sherrill, PHARM D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108865500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Navarre, FL
- NPI 1952610727
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.