HOLLOWAY PHARMACY LLC NPI 1285024323

NPI Information

NPI: 1285024323
Provider Name: HOLLOWAY PHARMACY LLC
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Address: 12805 HIGHWAY 28 E
STE A
PINEVILLE, LA
ZIP 71360
Phone: (318) 466-3113

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NPI Details

HOLLOWAY PHARMACY LLC is a community/retail pharmacy pharmacy in Pineville, LA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HOLLOWAY PHARMACY LLC NPI is 1285024323. The provider is registered as an organization entity type.

The provider's business location address is:

12805 HIGHWAY 28 E
STE A
PINEVILLE, LA
ZIP 71360-734
Phone: (318) 466-3113
Fax: (318) 466-1441

The provider's authorized official is Brandon Louis Willis .
The authorized official title is Owner/pharmacist and has the following contact phone number (318) 466-3113.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
Fee covid-19 vac 14 res (HCPCS:0134A)
Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 1/28/2015 and was last updated on 3/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHY.007057-IR	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7564500001	MEDICARE NSC	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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