Jalicia Deandrea Holt, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

48083 Issued in TN

Practice address

104 Highway 70 E
Dickson, TN 37055-2034

Phone

(615) 446-5585

Fax

(615) 446-7770

NPI assigned

Aug 20, 2024

Sex

Female

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

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1750113437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PHEASANT HOLLOW RD",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370559500",
            "telephone_number": "615-574-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552034",
            "telephone_number": "615-446-5585",
            "fax_number": "615-446-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JALICIA",
        "middle_name": "DEANDREA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "48083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Hogin
• Jason Andrew Holc, MD, BSC
• Hailey Marie Holder, DPT
• Holistic Healthcare and Wellness
• Leslie W. Holloway, RN
• Home Medical Products, Inc
• Horizon Orthopedics, LLC
• Horizon Surgical, LLC
• Rachel Hosey, FNP-BC
• Hospital Based Medical Services of Tennessee-I PC

• Pharmacist in Dickson, TN
• Providers in Dickson, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.