Lisa Carol Holloman, PHARM.D., BCPP

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

496202 Issued in CA

Practice address

11370 Wilshire Boulevard
Building 206 Room 230
Los Angeles, CA 90073

Phone

(310) 478-3711

Fax

(310) 268-4801

NPI assigned

Oct 19, 2006

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

Other names 1

• Dr. Lisa Carol Holloman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831271964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 LLOYD PL",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695504",
            "telephone_number": "310-859-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 WILSHIRE BOULEVARD",
            "address_2": "BUILDING 206 ROOM 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90073",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOMAN",
        "first_name": "LISA",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "CA",
            "license": "496202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HOLLOMAN",
            "middle_name": "CAROL",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jolene Hollis
• Nillie M Hollis
• Thurston Sonrea Hollis II
• Zachary L Hollis, AMFT
• Anisa Brianna Holloman, MD
• Dewayna L. Holloway, MFT I
• Jasmine Alexandria Holloway
• Marissa Faith Holloway, MAT, ATC
• Robert Patrick Holloway, M.D.
• Alissa Juanita Holly

• Psychiatric Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.