Moss Holland Enterprises LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

0201003801 Issued in VA

Legal business name

MOSS HOLLAND ENTERPRISES LLC

Doing business as

Bristol Home Infusion

Practice address

18377 Westinghouse Rd
Abingdon, VA 24210-7933

Phone

(276) 676-3468

Fax

(276) 451-0175

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mark HollandNPI 1245929934

Title

Owner

Phone

(803) 447-1959

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Bristol Home Infusion Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Moss Holland Enterprises LLC

  dba River Valley Specialty Pharmacy

  • Community/Retail Pharmacy
  • Little Rock, AR
  • NPI 1538858394

  4082073440

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Moss Holland Enterprises LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Moss Holland Enterprises LLC

  dba Bristol Home Infusion

  • Home Infusion Agency
  • Abingdon, VA
  • NPI 1932940574
  NPD tax ID
• Moss Holland Enterprises LLC

  dba River Valley Specialty Pharmacy

  • Community/Retail Pharmacy
  • Little Rock, AR
  • NPI 1538858394
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Moss Holland Enterprises LLC

  dba Bristol Home Infusion

  • Home Infusion Agency
  • Abingdon, VA
  • NPI 1932940574
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Holland, PHARMD

  • Pharmacist
  • Little Rock, AR
  • NPI 1245929934
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1801979935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21294",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722211294",
            "telephone_number": "803-447-1959",
            "fax_number": "276-676-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18377 WESTINGHOUSE RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107933",
            "telephone_number": "276-676-3468",
            "fax_number": "276-451-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS HOLLAND ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-447-1959"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "VA",
            "license": "0201003801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105458",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017838810001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacyoni Moraes-Finglass, MD
• John Sidney Moree, M.D
• Mark Edward Morgan, LPC
• Frank Morris, DDS
• Lauren Elizabeth Morris, MS, LAT, ATC
• Moss Holland Enterprises LLC (Bristol Home Infusion)
• Mountain States Health Alliance (Ballad Health Hospice)
• Mountain States Health Alliance (Ballad Health Homecare)
• Geraud Brett Moyers, CRNA
• Mary Mudd, FNP

• Home Infusion Therapy Pharmacy in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Home Infusion Therapy Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.