NICOLE HOLT (NPI# 1336740489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336740489 |
| Entity Type | Individual |
| Full Name | NICOLE HOLT |
| Credential | PHARMD |
| Practice Address |
5323 E Court St N Burton MI 48509-1539 |
| Mailing Address |
16381 Carrie Ln Fenton MI 48430-9186 |
| Practice Telephone | 8107442984 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302040564 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659700433 | Nicole Holt | Dietitian, Registered | 1417 Nw 54th St Ste 204, Seattle, WA 98107-3570 | 2013-11-02 |
| 1710532163 | Nicole Holt | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2019-08-02 |
| 1235646597 | Nicole Marie Holt | Counselor | 6929 W 130th St Ste 500, Parma Heights, OH 44130-7878 | 2018-01-08 |
| 1992016232 | Nicole Holt | Counselor | 1664 Broadway, El Cajon, CA 92021-5201 | 2010-07-01 |
| 1154411569 | Nicole Holt | Occupational Therapy Assistant | 4560 Se International Way, Consonus Rehab Services, Milwaukie, OR 97222 | 2006-10-14 |
| Street Address |
5323 E COURT ST N |
| City | BURTON |
| State | MI |
| Zip Code | 48509-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639196843 | Wal-mart Stores East Lp | Pharmacy | 5323 E Court St N, Burton, MI 48509-1539 | 2006-07-16 |
| 1922621523 | Tarisha Wright | Pharmacy Technician | 5323 E Court St N, Burton, MI 48509-1539 | 2020-05-19 |
| 1619523750 | Nhi Thuy Pham | Pharmacist | 5323 E Court St N, Burton, MI 48509-1539 | 2019-08-14 |
| 1578703146 | Dr Todd W Lee & Associates Pllc | Optometrist | 5323 E Court St N, Burton, MI 48509-1539 | 2009-02-23 |
| 1053446153 | Dr Todd W Lee O D P C | Optometrist | 5323 E Court St N, Burton, MI 48509-1539 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265722904 | Naga M Pachigolla | Pharmacist | G3009 S Dort Hwy, Burton, MI 48529-1081 | 2011-04-14 |
| 1730479544 | Vinathi Vemuleti | Pharmacist | G4033 Fenton Rd, Burton, MI 48529-1502 | 2011-04-13 |
| 1427348481 | Eleni Poutakidou | Pharmacist | 4179 Woodrow Ave, Burton, MI 48509-1051 | 2011-04-12 |
| 1336438787 | Nicole Neely | Pharmacist | G4007 S Saginaw St, Burton, MI 48529-1617 | 2011-04-06 |
| 1760780811 | Ronald Mark Kesemeyer | Pharmacist | 4001 Davison Rd, Ste A, Burton, MI 48509-1401 | 2011-03-13 |
| 1033441225 | James Sterling Kimball | Pharmacist | 1145 N Belsay Rd, Burton, MI 48509-1653 | 2010-02-12 |
| 1528257946 | Patrice Ann Dembo | Pharmacist | G2333 South Center Road, Burton, MI 48519-1147 | 2007-10-22 |
| 1235352287 | Shailee C Shah | Pharmacist | 6026 Lapeer Rd, Burton, MI 48509-2215 | 2007-04-10 |
| 1619523750 | Nhi Thuy Pham | Pharmacist | 5323 E Court St N, Burton, MI 48509-1539 | 2019-08-14 |
| 1669957692 | Kimberly Bayyouk | Pharmacist | G4033 Fenton Rd, Burton, MI 48529-1502 | 2018-09-25 |
| Find all providers in BURTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.