Individual provider Active NPI

James Kevin Holland Sr., RPH

  • Pharmacist
  • Indianapolis, IN
National Provider Identifier
1841514684
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26018954 Issued in IN
Practice address
8375 E 96TH St
Indianapolis, IN 46256-1014
Phone
(317) 585-2433
Fax
(317) 585-2465
NPI assigned
Mar 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26018954 IN Primary

Addresses

Primary practice location

8375 E 96TH St
Indianapolis, IN 46256-1014

Mailing address

17 Red Oak LN
Carmel, IN 46033-1973
Phone (317) 489-1340

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

LicenseStateTypeSpecialty
26018954INMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1841514684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RED OAK LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460331973",
            "telephone_number": "317-489-1340",
            "fax_number": "317-585-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 E 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561014",
            "telephone_number": "317-585-2433",
            "fax_number": "317-585-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JAMES",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26018954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.