Organization Active NPI

Holman Healthcare Inc

Doing business as dba Pharmax Medical Equipment

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Farmington, MO
National Provider Identifier
1922100312
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
602403909 Issued in MO
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

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
David B HolmanNPI 1992795603
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
622403905MedicaidMO

Other names 1

  • dba Pharmax Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.