Individual provider Active NPI

Linda Jean Holzrichter, RPH

  • Pharmacist
  • Pueblo, CO
National Provider Identifier
1710445424
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11093 Issued in CO
Practice address
1925 E Orman Ave Ste 102
Pueblo, CO 81004-3500
Phone
(719) 557-5676
Fax
(719) 557-4767
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 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 11093 CO Primary

Addresses

Primary practice location

1925 E Orman Ave Ste 102
Pueblo, CO 81004-3500

Mailing address

12 Oakbridge Dr
Pueblo, CO 81001-1424
Phone (719) 320-3086

Other practice location 1

12 Oakbridge Dr
Pueblo, CO 81001-1424
Phone (719) 320-3086

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11093COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1710445424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OAKBRIDGE DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011424",
            "telephone_number": "719-320-3086",
            "fax_number": "719-557-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E ORMAN AVE STE 102",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043500",
            "telephone_number": "719-557-5676",
            "fax_number": "719-557-4767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Oakbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810011424",
            "country_code": "US",
            "telephone_number": "719-320-3086",
            "fax_number": "719-557-4767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLZRICHTER",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "11093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.