Organization Active NPI

Holts Pharmacy PC

  • Family Medicine Physician
  • Tooele, UT
National Provider Identifier
1962070599
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Rebecca Holt, PHARMDNPI 1730590902
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2207551Holts Pharmacy134 W 1180 N, Ste 12, Tooele, UT 84074Certificate of waiverDec 28, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.