NPI Code Detail JSON Logo

1538625330 NPI number — JAMES NELSON HOLLOWAY RPH

NPI Number: 1538625330
Health Care Provider/Practitioner: JAMES NELSON HOLLOWAY RPH

Information about “1538625330” NPI (JAMES NELSON HOLLOWAY RPH) exists in 1538625330 in HTML format HTML  |  1538625330 in plain Text format TXT  |  1538625330 in PDF (Portable Document Format) PDF  |  1538625330 in an XML format XML  formats.

NPI Number : 1538625330 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538625330",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLLOWAY",
    "FirstName": "JAMES",
    "MiddleName": "NELSON",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOLLOWAY",
    "OtherFirstName": "JAMES",
    "OtherMiddleName": "NELSON",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "RPH",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "14706 HANNEBAUER LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STERLING HEIGHTS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48313-5633",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "586-566-8159",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "33201 VAN DYKE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STERLING HEIGHTS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48312-5924",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "586-939-8171",
    "PracticeLocationAddressFaxNumber": "586-939-8178",
    "EnumerationDate": "02/17/2019",
    "LastUpdateDate": "02/17/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "5302022173",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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