Holland Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07297 Issued in KY

Legal business name

HOLLAND DRUG COMPANY LLC

Practice address

5425 N Mayo TRL
Ste 102
Pikeville, KY 41501-2966

Phone

(606) 437-0701

Fax

(606) 437-9262

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Jody Holland

Title

Owner

Phone

(606) 437-0701

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• COMMONWEALTH PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanmarie Holland, RPH

  • Pharmacist
  • Betsy Layne, KY
  • NPI 1619561149
  NPD

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1992970644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2159",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022159",
            "telephone_number": "606-437-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 N MAYO TRL",
            "address_2": "STE 102",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012966",
            "telephone_number": "606-437-0701",
            "fax_number": "606-437-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2021-03-01",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-437-0701"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035143",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100124550",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100053580",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMONWEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMONWEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha K. Hettinger, LCSW
• Tammy Hickman, LPCC
• Toisha Renee Hickman, BA
• Charles L Hoffecker, CRNA
• Holland Drug Company LLC
• Selina A. Holley, DIETITIAN
• Benjamin F Hollywood, CRNA
• Home Care Health Services Inc
• Home Care Health Services, Inc.
• Maleshea Y Hopkins, DO

• All providers in Pikeville, KY
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.