Derek Holyoak

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

I027084 Issued in AZ

Practice address

975 E Ocotillo Rd
Chandler, AZ 85249-3013

Phone

(480) 214-1367

Fax

(480) 214-1370

NPI assigned

Sep 15, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Chandler, AZ
  • NPI 1346256708
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1720959604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E OCOTILLO RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493013",
            "telephone_number": "480-214-1367",
            "fax_number": "480-214-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E OCOTILLO RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493013",
            "telephone_number": "480-214-1367",
            "fax_number": "480-214-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLYOAK",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "I027084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Holmes, LPC
• Jordan Matthew Holmes, PT, DPT
• Ashleigh Nicole Holst
• Daniel Holtgrewe, DPT
• Holy Name Assisted Living, LLC
• Rylee Holyoak, NMD
• Homan Hajbandeh, M.D., P.L.L.C
• Elizabeth G Homas-McKenna, M.D.
• Home for Me LLC
• Home Health Solutions LP

• Student in an Organized Health Care Education/Training Program in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.