Holly R Bandy

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202012573 Issued in VA

Practice address

2710 S Crater Rd
Petersburg, VA 23805-2404

Phone

(804) 733-6222

Fax

(804) 733-7526

NPI assigned

Nov 24, 2012

Sex

Female

Sole proprietor

No

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

• Park Drugs Inc

  • Pharmacy
  • Petersburg, VA
  • NPI 1871508473
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2012.

{
    "created_epoch": "1353715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353715200000",
    "number": "1861736233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052404",
            "telephone_number": "804-733-6222",
            "fax_number": "804-733-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052404",
            "telephone_number": "804-733-6222",
            "fax_number": "804-733-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "HOLLY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-24",
        "last_updated": "2012-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202012573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Bagley, DO
• Jennifer E Bagsby, LCSW
• Andrew William Bailey, PHARMD
• Sherri Joanne Ball, LPC, LMFT
• William Marshall Ballance, DDS
• Cherika M Barcliff
• Baright Surgery PLLC
• Amanda Marie Baright, D.O.
• Dafferlin Juanita Barnard-Dupree, M.D.
• Coreena Eleanor Barnes

• All providers in Petersburg, VA
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2012; 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.