Active NPI
Holman Healthcare Inc
Doing business as dba Pharmax Medical Equipment
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 602403909
- Legal business name
- HOLMAN HEALTHCARE INC
- Doing business as
- dba Pharmax Medical Equipment
- Practice address
- 669 W Karsch Blvd
Farmington, MO 63640-3314 - Phone
- (573) 756-3503
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David B Holman
- Title
- President
- Phone
- (573) 756-3503
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 602403909 | MO | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 622403905 | MO |
Addresses
Primary practice location
669 W Karsch Blvd
Farmington, MO 63640-3314
Mailing address
669 W Karsch Blvd
Farmington, MO 63640-3314
Phone (573) 756-3503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622403905 | Medicaid | MO |
Other names 1
- dba Pharmax Medical Equipment
National Provider Directory
National Provider DirectoryLocations
673 W Karsch Blvd
Farmington, MO 63640
Phone (573) 701-0044
669 W Karsch Blvd
Farmington, MO 63640
Phone (573) 756-3503
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Farmington, MO
- NPI 1992795603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470268800000",
"number": "1922100312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 W KARSCH BLVD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403314",
"telephone_number": "573-756-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 W KARSCH BLVD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403314",
"telephone_number": "573-756-3503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLMAN HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2016-08-04",
"status": "A",
"authorized_official_last_name": "HOLMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-756-3503"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": "602403909",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": "622403905",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "622403905",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Pharmax Medical Equipment",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.