Organization Active NPI

Holzer Hospital Foundation

  • Community/Retail Pharmacy
  • Athens, OH
National Provider Identifier
1982850772
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOLZER HOSPITAL FOUNDATION
Practice address
2131 E State St
Athens, OH 45701-2138
Phone
(740) 589-3181
Fax
(740) 589-3182
NPI assigned
Aug 12, 2008
Reactivated
Aug 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Rodney B Stout, MD
Title
Ceo
Phone
(740) 446-5559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2131 E State St
Athens, OH 45701-2138

Mailing address

2131 E State St
Athens, OH 45701-2138
Phone (740) 589-3181

Other identifiers 1

IdentifierTypeStateIssuer
2848137MedicaidOH

Other names 1

  • Holzer Family Pharmacy Athens Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251031000390 OH Part B Supplier - Mass Immunization (Roster Biller Only) 6901896927 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jackson, OH; Gallipolis, OH; Athens, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
36D1000598Holzer Hospital Foundation Dba Holzer2131 E State St, Athens, OH 45701AccreditationMay 21, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1982850772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012138",
            "telephone_number": "740-589-3181",
            "fax_number": "740-589-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012138",
            "telephone_number": "740-589-3181",
            "fax_number": "740-589-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLZER HOSPITAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "deactivation_date": "2025-06-24",
        "reactivation_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-446-5559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2848137",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holzer Family Pharmacy Athens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.