NPIMap

Organization Active NPI

Holland'S Pharmacy

  • Pharmacist
  • Lawrenceburg, TN
National Provider Identifier
1922135052
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60 Issued in TN
Legal business name
HOLLAND'S PHARMACY
Practice address
1333 S Locust Ave
Lawrenceburg, TN 38464-4040
Phone
(931) 762-2220
Fax
(931) 762-2228
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Dennis Mattox, D.PH.
Title
Pharmacist
Phone
(931) 762-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 60 TN Primary

Addresses

Primary practice location

1333 S Locust Ave
Lawrenceburg, TN 38464-4040

Mailing address

1333 S Locust Ave
Lawrenceburg, TN 38464-4040
Phone (931) 762-2220

Other identifiers 1

IdentifierTypeStateIssuer
4426931OtherTNNABP#

National Provider Directory

National Provider Directory
Tax ID family
Hollands Drug Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1333 S Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-2220

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1922135052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644040",
            "telephone_number": "931-762-2220",
            "fax_number": "931-762-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644040",
            "telephone_number": "931-762-2220",
            "fax_number": "931-762-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "MATTOX",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "931-762-2220",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "4426931",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.