Active NPI
Kathleen M Holmes, RPH
- Pharmacist
- Penn Yan, NY
National Provider Identifier
1790962322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 031703
- Practice address
- 321 Liberty St
Penn Yan, NY 14527-1117 - Phone
- (315) 536-5930
- Fax
- (315) 536-5809
- NPI assigned
- Jan 25, 2008
- 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 | 031703 | NY | Primary |
Addresses
Primary practice location
321 Liberty St
Penn Yan, NY 14527-1117
Mailing address
321 Liberty St
Penn Yan, NY 14527-1117
Phone (315) 536-5930
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 |
|---|---|---|---|
| 031703 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1790962322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 LIBERTY ST",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271117",
"telephone_number": "315-536-5930",
"fax_number": "315-536-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 LIBERTY ST",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271117",
"telephone_number": "315-536-5930",
"fax_number": "315-536-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "031703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.