JACK L. HOLT RPH – NPI #1104168624
Pharmacist

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

JACK HOLT is a pharmacist located in VANCOUVER, WA. NPPES has assigned the NPI number 1104168624 to JACK HOLT on March 22, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

The NPI profile was previously updated about 13 years ago on Apr 30, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK HOLT below.

NPI Profile for
JACK L. HOLT

NPI Number
1104168624
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK L. HOLT
Credentials
RPH
Primary location
916 W EVERGREEN BLVD
VANCOUVER, WA 98660-3035
Phone: (360) 213-2232 Fax: (360) 213-2238
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for JACK HOLT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPHARMACIST LICENSEORRPH-0007279
OTHERPHARMACIST PRECEPTOR LICENSEORRPH-0007279-P
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)
OR RPH-0007279

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.