Organization Active NPI

Holland Pharmacy LLC

Doing business as Skip's Pharmacy Of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Holland, MI
National Provider Identifier
1710448030
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOLLAND PHARMACY LLC
Doing business as
Skip's Pharmacy Of Michigan
Practice address
700 Michigan Ave
Holland, MI 49423-6944
Phone
(616) 392-8507
Fax
(616) 392-8681
NPI assigned
Mar 28, 2019
Last updated
Jan 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Authorized official

Name
Mr. Murali C GinjupalliNPI 1922356591
Title
President
Phone
(989) 906-4232

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

700 Michigan Ave
Holland, MI 49423-6944

Mailing address

700 Michigan Ave
Holland, MI 49423-6944
Phone (616) 392-8507

Other names 1

  • Skip's Pharmacy Of Michigan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fox Glove Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1710448030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236944",
            "telephone_number": "616-392-8507",
            "fax_number": "616-392-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236944",
            "telephone_number": "616-392-8507",
            "fax_number": "616-392-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "GINJUPALLI",
        "authorized_official_first_name": "MURALI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-906-4232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skip's Pharmacy Of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.