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Deactivated NPI 1245765049 Deactivated / Inactive NPI Male Practitioner

Dr. Jay Holloway , PharmD, AAHIVP

Pharmacist • Lancaster, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jay Holloway has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 29, 2017
NPI Deactivation Date September 14, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Holloway, PharmD, AAHIVP was a registered Pharmacist practicing in Lancaster, CA. Throughout an active medical career spanning 5 years, Dr. Holloway provided care at the practice location at 831 E AVENUE K until profile deactivation on 2022-09-14.

Practice Location & Contact Primary Location

Practice Address

831 E Avenue K

Lancaster, CA 935354712

Telephone 6619421782
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1184639460

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
146 Specialists

Practicing in Lancaster, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 85497

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License NE 16227

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License CO 21583

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1053720334

Doctor of Pharmacy (Pharm.D.)

NPI 1346522000

Doctor of Pharmacy (Pharm.D.)

Daljit Dhillon

Pharmacist

NPI 1386926285

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location August 17, 2023

Registered at 831 E AVENUE K, LANCASTER, CA 935354712 (Tel: 6619421782)

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Updated Business Mailing Address August 17, 2023

Registered at 1720 TAFT AVE APT 304, LOS ANGELES, CA 900285681 (Tel: 9132336967)

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Provider Name / Credentials Updated August 17, 2023

Recorded as JAY HOLLOWAY, PHARMD, AAHIVP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2023

Pharmacist (License #16227 in NE)

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Updated Practice Location October 12, 2022

Registered at 7402 CHURCH RANCH BLVD, APT 416, WESTMINSTER, CO 800214000 (Tel: 9132336967)

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Updated Business Mailing Address October 12, 2022

Registered at 7402 CHURCH RANCH BLVD, APT 416, WESTMINSTER, CO 800214000 (Tel: 9132336967)

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Provider Name / Credentials Updated October 12, 2022

Recorded as HANNAH HOLLOWAY, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2022

Pharmacist (License #21583 in CO)

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NPI Profile Deactivated September 14, 2022

Record deactivated on September 14, 2022

NPI Profile Active April 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2017

Registered at 7402 CHURCH RANCH BLVD, APT 416, WESTMINSTER, CO 800214000 (Tel: 9132336967)

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Updated Business Mailing Address April 29, 2017

Registered at 7402 CHURCH RANCH BLVD, APT 416, WESTMINSTER, CO 800214000 (Tel: 9132336967)

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Provider Name / Credentials Updated April 29, 2017

Recorded as HANNAH HOLLOWAY, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2017

Pharmacist (License #21583 in CO)

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Initial NPI Registration & Enumeration April 29, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245765049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2017
Last Update: August 17, 2023
Deactivation Date: September 14, 2022
Sole Proprietor: No

Mailing Address

1720 Taft Ave Apt 304

Los Angeles, CA 900285681

Phone: 9132336967

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.