Active NPI
Holts Pharmacy PC
- Family Medicine Physician
- Tooele, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HOLTS PHARMACY PC
- Practice address
- 134 W 1180 N Ste 12
Tooele, UT 84074-1483 - Phone
- (435) 249-0767
- Fax
- (435) 249-0754
- NPI assigned
- Jun 10, 2021
- 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
- Rebecca Holt, PHARMD
- Title
- Owner/Ao
- Phone
- (435) 249-0767
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
134 W 1180 N Ste 12
Tooele, UT 84074-1483
Mailing address
134 W 1180 N Ste 12
Tooele, UT 84074-1483
Phone (435) 249-0767
Other names 1
- Holt's Clinical Team
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2207551 | Holts Pharmacy | Certificate of waiver | Dec 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
134 W 1180 N
Ste 12
Tooele, UT 84074
Phone (435) 249-0767
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tooele, UT
- NPI 1730590902
-
- Pharmacist
- Tooele, UT
- NPI 1891383022
-
- Pharmacist
- Tooele, UT
- NPI 1922725050
-
- Pharmacist
- Tooele, UT
- NPI 1366852600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623369600000",
"number": "1962070599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 W 1180 N STE 12",
"city": "TOOELE",
"state": "UT",
"postal_code": "840741483",
"telephone_number": "435-249-0767",
"fax_number": "435-249-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W 1180 N STE 12",
"city": "TOOELE",
"state": "UT",
"postal_code": "840741483",
"telephone_number": "435-249-0767",
"fax_number": "435-249-0754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLTS PHARMACY PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A",
"authorized_official_last_name": "HOLT",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER/AO",
"authorized_official_telephone_number": "435-249-0767",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Holt's Clinical Team",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Holt's Clinical Team",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.