Active NPI
Michael David Holcomb
- Pharmacist
- Johnson Lake, NE
National Provider Identifier
1659264604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10384
- Practice address
- 137 Mallard Beach Dr22A
Johnson Lake, NE 68937-2266 - Phone
- (308) 870-2575
- NPI assigned
- May 29, 2025
- 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 | 10384 | NE | Primary |
Addresses
Primary practice location
137 Mallard Beach Dr22A
Johnson Lake, NE 68937-2266
Mailing address
137 Mallard Beach Dr22A
Johnson Lake, NE 68937-2266
Phone (308) 870-2575
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holcomb Pharmacy PC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Broken Bow, NE
- NPI 1053418988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1659264604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 MALLARD BEACH DR22A",
"city": "JOHNSON LAKE",
"state": "NE",
"postal_code": "689372266",
"telephone_number": "308-870-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MALLARD BEACH DR22A",
"city": "JOHNSON LAKE",
"state": "NE",
"postal_code": "689372266",
"telephone_number": "308-870-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "10384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson Lake, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.