Individual provider Active NPI

Gregory Scott Holley, PHARMD

  • Pharmacist
  • Knoxville, TN
National Provider Identifier
1841808649
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44182 Issued in TN
Practice address
2217 N Broadway St
Knoxville, TN 37917-4719
Phone
(865) 525-4629
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44182 TN Primary

Addresses

Primary practice location

2217 N Broadway St
Knoxville, TN 37917-4719

Mailing address

2217 N Broadway St
Knoxville, TN 37917-4719
Phone (865) 525-4629

Other practice location 1

910 Riverside Forest Way Unit 308
Knoxville, TN 37915-2349
Phone (540) 420-4308

Other practice location 2

866 Brooklawn Street
Farragut, TN 37934
Phone (865) 671-7920

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
44182TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1841808649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 N BROADWAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174719",
            "telephone_number": "865-525-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 N BROADWAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174719",
            "telephone_number": "865-525-4629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Riverside Forest Way Unit 308",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379152349",
            "country_code": "US",
            "telephone_number": "540-420-4308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "866 Brooklawn Street",
            "address_purpose": "LOCATION",
            "city": "Farragut",
            "state": "TN",
            "postal_code": "37934",
            "country_code": "US",
            "telephone_number": "865-671-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "44182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.