Holly Springs Pharmacy LLC
NPI 1023495272ActiveOrganization· Pharmacy, Specialty Pharmacy· Holly Springs, NC
Pharmacy, Specialty Pharmacy in Holly Springs, North Carolina, registered in NPPES in April 2015. The authorized official on file is Suzan Kalantar, PHARMD, Member. Medicare paid $5,032 for services to 26 patients in 2024.
Overview
| NPI | 1023495272 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2015 |
| Last updated in NPPES | Aug 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | 12954 | NC |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NC); Part B Supplier - Independent Clinical Laboratory (NC); Part B Supplier - Mass Immunization (Roster Biller Only) (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 72 across 6 procedure codes |
| Paid by Medicare | $5,032 |