Holladay Healthcare, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

4512 Issued in NC

Legal business name

HOLLADAY HEALTHCARE, INC.

Practice address

2560 Landmark Dr
Winston-Salem, NC 27103-6716

Phone

(336) 760-3446

Fax

(336) 765-7710

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nick Elledge

Title

Vice President

Phone

(336) 679-8852

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Ann Matheny, RPH

  • Pharmacist
  • Winston Salem, NC
  • NPI 1639757800
  NPD (past)
• Debra Forzese, PHARM D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Portsmouth, NH
  • NPI 1760605521
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1972579811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 LANDMARK DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271036716",
            "telephone_number": "336-760-3446",
            "fax_number": "336-765-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 LANDMARK DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271036716",
            "telephone_number": "336-760-3446",
            "fax_number": "336-765-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "ELLEDGE",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-679-8852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "4512",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "4512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ashley Holdren, LMBT 15683
• Vance Holdsclaw, PHARM.D.
• Jacquelyn Rose Holjencin, PA-C
• Sara Holka
• Holladay Healthcare, Inc.
• Holladay Medicorp, Inc.
• Stephanie Pospishil Holladay, BCABA
• Amy Underwood Holland, LCMHCA, MA
• David Vincent Holland, DDS
• Donald Eugene Holland, LMFT

• Long Term Care Pharmacy in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.