Genara N Holladay, A.P., PHARM D, MD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP866 Issued in FL

Practice address

4741 Atlantic Blvd Ste E2
Jacksonville, FL 32207-1138

Phone

(904) 398-6400

NPI assigned

Nov 7, 2006

Last updated

Dec 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arclight Health, P.a.

  • Acupuncturist
  • Jacksonville, FL
  • NPI 1457420028
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1962571638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 OLD HICKORY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078803",
            "telephone_number": "904-398-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 ATLANTIC BLVD STE E2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322071138",
            "telephone_number": "904-398-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "GENARA",
        "middle_name": "N",
        "credential": "A.P., PHARM D, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP866",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS, L.L.C. (CVS Pharmacy # 06456)
• Bishop Clarke Holifield
• Edwarnique Holifield
• Holistic Counseling and Social Services
• Holistic Hands LLC
• Holland Behavioral and Therapeutic Services
• Chania Holland
• John Rob Holland, DDS
• Keith Vaughn Holland, D.D.S.
• McKenzie Noel Holland

• Acupuncturist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.