Active NPI
Holli Dawn Overcash, PHARMD
- Pharmacist
- Kannapolis, NC
National Provider Identifier
1871214221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31636
- Practice address
- 1113 N Main St
Kannapolis, NC 28081-2256 - Phone
- (704) 932-9111
- NPI assigned
- Sep 5, 2022
- Last updated
- Sep 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31636 | NC | Primary |
Addresses
Primary practice location
1113 N Main St
Kannapolis, NC 28081-2256
Mailing address
1090 Ebenezer Rd
Kannapolis, NC 28083-9186
Phone (704) 960-3179
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31636 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moose Pharmacy of Kannapolis Inc | Past | Accepting new patients | |
| Moose Pharmacy of Kannapolis, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Moose Pharmacy of Kannapolis
- Community/Retail Pharmacy
- Kannapolis, NC
- NPI 1194862177
-
dba Moose Pharmacy of Kannapolis Long-Term Care
- Long Term Care Pharmacy
- Kannapolis, NC
- NPI 1982976288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1871214221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 EBENEZER RD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280839186",
"telephone_number": "704-960-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 N MAIN ST",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280812256",
"telephone_number": "704-932-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERCASH",
"first_name": "HOLLI",
"middle_name": "DAWN",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-05",
"last_updated": "2022-09-05",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "31636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.