Jan Holley Pattillo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

TX28590 Issued in TX

Practice address

107 N Rice St
Hamilton, TX 76531-1857

Phone

(254) 386-3111

Fax

(254) 386-8844

NPI assigned

Aug 16, 2019

Last updated

Aug 16, 2019By 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

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Jordan Pharmacy Inc

  dba Jordan Pharmacy

  • Community/Retail Pharmacy
  • Hamilton, TX
  • NPI 1578660411
  NPD Authorized official
• P&P Pharmacy Group LLC

  • Community/Retail Pharmacy
  • Hamilton, TX
  • NPI 1992507313
  NPD

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1972159614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765310112",
            "telephone_number": "254-386-3111",
            "fax_number": "254-386-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N RICE ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311857",
            "telephone_number": "254-386-3111",
            "fax_number": "254-386-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTILLO",
        "first_name": "JAN",
        "middle_name": "HOLLEY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "TX28590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARCFACTS",
            "identifier": "1578660411",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Nichols
• North Hill Country Anesthesia Services, LLC. (PICC Associates of Central Texas)
• John Henry Opryshek, RPH
• P&P Pharmacy Group LLC
• Mackenzie Parish
• Peaceful Dove Counseling, LLC
• Ping N. Tan, MD, PA, Inc
• Jennifer Sue Plumlee, FNP-BC
• Jonathan Wallace Pryor, M.A.
• Ray's City Drug, Inc.

• Pharmacist in Hamilton, TX
• Providers in Hamilton, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.