Active NPI
Holzer Hospital Foundation
- Community/Retail Pharmacy
- Athens, OH
National Provider Identifier
1982850772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2848137 | Medicaid | OH |
Other names 1
- Holzer Family Pharmacy Athens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1000598 | Holzer Hospital Foundation Dba Holzer | Accreditation | May 21, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.