Individual provider Active NPI

Holly Frandsen, RPH

  • Pharmacist
  • Miami, AZ
National Provider Identifier
1891020335
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S012990 Issued in AZ
Practice address
2115 US Highway 60 Ste 200
Miami, AZ 85539-8744
Phone
(928) 425-8165
Fax
(928) 425-2553
NPI assigned
Oct 15, 2009
Last updated
Oct 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S012990 AZ Primary

Addresses

Primary practice location

2115 US Highway 60 Ste 200
Miami, AZ 85539-8744

Mailing address

2115 US Highway 60 Ste 200
Miami, AZ 85539-8744
Phone (928) 425-8165

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

LicenseStateTypeSpecialty
S012990AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith's Food & Drug Centers Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1891020335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 US HIGHWAY 60 STE 200",
            "city": "MIAMI",
            "state": "AZ",
            "postal_code": "855398744",
            "telephone_number": "928-425-8165",
            "fax_number": "928-425-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 US HIGHWAY 60 STE 200",
            "city": "MIAMI",
            "state": "AZ",
            "postal_code": "855398744",
            "telephone_number": "928-425-8165",
            "fax_number": "928-425-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANDSEN",
        "first_name": "HOLLY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S012990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.