Active NPI
Susan K Holman, R.PH.
- Pharmacist
- Bonne Terre, MO
National Provider Identifier
1760468367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040715
- Practice address
- 60A Nesbit Dr
Bonne Terre, MO 63628-1368 - Phone
- (573) 358-3301
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040715 | MO | Primary |
Addresses
Primary practice location
60A Nesbit Dr
Bonne Terre, MO 63628-1368
Mailing address
610 Harvey CT
Farmington, MO 63640-2101
Phone (573) 756-4239
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
| License | State | Type | Specialty |
|---|---|---|---|
| 040715 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760468367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 HARVEY CT",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402101",
"telephone_number": "573-756-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60A NESBIT DR",
"city": "BONNE TERRE",
"state": "MO",
"postal_code": "636281368",
"telephone_number": "573-358-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "SUSAN",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "040715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonne Terre, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.