Active NPI
Nick W Holland, R.PH.
- Pharmacist
- Ardmore, AL
National Provider Identifier
1881762755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6753
- Practice address
- 30508 Ardmore Ave
Ardmore, AL 35739-7443 - Phone
- (256) 423-2155
- Fax
- (256) 423-8999
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 6753 | AL | Primary |
Addresses
Primary practice location
30508 Ardmore Ave
Ardmore, AL 35739-7443
Mailing address
29331 Mims St
Ardmore, AL 35739-7633
Phone (256) 423-2680
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6753 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & M Pharmacy Inc | Pharmacist | Past | Accepting new patients |
| J & M Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 3
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 Jones Drugs
- Durable Medical Equipment & Medical Supplies
- Ardmore, AL
- NPI 1821164401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881762755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29331 MIMS ST",
"city": "ARDMORE",
"state": "AL",
"postal_code": "357397633",
"telephone_number": "256-423-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30508 ARDMORE AVE",
"city": "ARDMORE",
"state": "AL",
"postal_code": "357397443",
"telephone_number": "256-423-2155",
"fax_number": "256-423-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "NICK",
"middle_name": "W",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "6753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.