John Todd Holder

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

12526 Issued in OK

Practice address

513 Barnes Ave
Alva, OK 73717-2229

Phone

(580) 327-3332

Fax

(580) 327-1848

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holder-Southern Drug Company Inc

  dba Holder Drug

  • Community/Retail Pharmacy
  • Alva, OK
  • NPI 1396835013
  NPD Authorized official

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1861163255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BARNES AVE",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172229",
            "telephone_number": "580-327-3332",
            "fax_number": "580-327-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BARNES AVE",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172229",
            "telephone_number": "580-327-3332",
            "fax_number": "580-327-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "JOHN",
        "middle_name": "TODD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OK",
            "license": "12526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Gregg, M. D.
• Jerrad Hada, PT
• Lindsey Erin Head, P.A.-C
• Kohannah Hess, BS
• Holder-Southern Drug Company Inc (Holder Drug)
• Gwyneth Leigh Holderby, DNP
• Melissa Hook
• Human Performance Center 3 PLLC
• Megan A Isaacs
• Delissa Leann Jantz, BS

• Pharmacy Technician in Alva, OK
• Providers in Alva, OK by specialty
• Pharmacy Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.