Active NPI
Tara R Holliday
- Pharmacist
- Columbia, SC
National Provider Identifier
1902103963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11862
- Practice address
- 4467 Devine St
Columbia, SC 29205-3611 - Phone
- (803) 787-2527
- Fax
- (803) 787-4158
- NPI assigned
- Feb 26, 2011
- 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 | 11862 | SC | Primary |
Addresses
Primary practice location
4467 Devine St
Columbia, SC 29205-3611
Mailing address
4467 Devine St
Columbia, SC 29205-3611
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298678400000",
"number": "1902103963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4467 DEVINE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4467 DEVINE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053611",
"telephone_number": "803-787-2527",
"fax_number": "803-787-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "TARA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-26",
"last_updated": "2011-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.