Richard Holley Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60846549 Issued in WA

Practice address

35100 Enchanted Pkwy S
Federal Way, WA 98003-8314

Phone

(253) 874-4431

NPI assigned

Feb 27, 2015

Last updated

Nov 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kirks Pharmacy at Hartland, Inc.

  dba Kirk's Pharmacy and Compounding

  • Community/Retail Pharmacy
  • Puyallup, WA
  • NPI 1396973004

  Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist

  NPD (past)
• Kirks Pharmacy at Hartland, Inc.

  dba Kirk's Pharmacy and Compounding

  • Long Term Care Pharmacy
  • Puyallup, WA
  • NPI 1528896453
  NPD (past)
• Kirks Pharmacy Inc

  • Community/Retail Pharmacy
  • Eatonville, WA
  • NPI 1700991759

  Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist

  NPD (past)

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1780076711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35100 ENCHANTED PKWY S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038314",
            "telephone_number": "253-874-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35100 ENCHANTED PKWY S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038314",
            "telephone_number": "253-874-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-27",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60846549",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WA",
            "license": "PH60846549",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60846549",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WA",
            "license": "PH60846549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122893",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holistic Care Home
• Holistic Home and Community Clinic PLLC
• Beth Heishman Holiway, MS CCC-SLP
• Rebecca Hollander
• Kathleen Hollensbe
• Seanna Hollinger, LSWIAC
• Michelle Joy Holm, M.D.
• Carylin Marie Holsey, DNP, FNP-C
• Jennifer Holt, LMP
• Sandra Holtz

• Pharmacist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.