A.G. Holley State Hospital
NPI 1295811032ActiveOrganization· Pharmacy, Institutional Pharmacy· Lantana, FL
Pharmacy, Institutional Pharmacy in Lantana, Florida, registered in NPPES in October 2006. The authorized official on file is Jerry Jean Stambaugh, RPH, Pharmacist.
Overview
| NPI | 1295811032 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2006 |
| Last updated in NPPES | Jun 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Institutional Pharmacy Primary | 3336I0012X | PH0016562 | FL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|