State of Arizona
NPI 1538170162ActiveOrganization· Pharmacy, Institutional Pharmacy· Phoenix, AZ
Pharmacy, Institutional Pharmacy in Phoenix, Arizona, registered in NPPES in August 2006. The authorized official on file is Kelly Holladay, PHARMD, Dop.
Overview
| NPI | 1538170162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2006 |
| Last updated in NPPES | Jul 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Institutional Pharmacy Primary | 3336I0012X | Y000486 | AZ |
| Pharmacy | 333600000X | — | — |
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 |
|---|
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