Individual provider Active NPI

Jennifer Mary Holzer

  • Pharmacist
  • Naples, FL
National Provider Identifier
1679117303
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS29866 Issued in FL
Practice address
5420 Juliet Blvd
Naples, FL 34109-2628
Phone
(239) 254-8122
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS29866 FL Primary

Addresses

Primary practice location

5420 Juliet Blvd
Naples, FL 34109-2628

Mailing address

9429 Whooping Crane Way
Naples, FL 34120-1861
Phone (239) 641-1964

Other practice location 1

9429 Whooping Crane Way
Naples, FL 34120-1861
Phone (239) 641-1964

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmholze@wal-mart.com

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

LicenseStateTypeSpecialty
PS29866FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1679117303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 WHOOPING CRANE WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201861",
            "telephone_number": "239-641-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 JULIET BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092628",
            "telephone_number": "239-254-8122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9429 Whooping Crane Way",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341201861",
            "country_code": "US",
            "telephone_number": "239-641-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLZER",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS29866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmholze@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "n",
            "address_1": "5420 Juliet Blvd",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341092628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.