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Deactivated NPI 1174819437 Deactivated / Inactive NPI Female Practitioner

Nicole Rochelle Holmes , RPH

Pharmacist • Maple Grove, MN

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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, Nicole Holmes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 24, 2011
NPI Deactivation Date September 08, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Nicole Holmes, RPH was a registered Pharmacist practicing in Maple Grove, MN. Throughout an active medical career spanning 9 years, Nicole Holmes provided care at the practice location at 15300 GROVE CIR N until profile deactivation on 2020-09-08.

Practice Location & Contact Primary Location

Practice Address

15300 Grove Cir N
T-2193

Maple Grove, MN 553694469

Telephone 7634472507
Fax 7634472517
Associated Practice Facility / Clinic
🏢 Grand St Paul Cvs Llc Facility NPI 1326060013

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
60 Specialists

Practicing in Maple Grove, MN (4994 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 118414

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

11 Associated Practitioners
Zeleke Goshu , RPH

Pharmacist - Ambulatory Care

NPI 1063011021

Registered Pharmacist

NPI 1194080135

Doctor of Pharmacy (Pharm.D.)

NPI 1194110411

Doctor of Pharmacy (Pharm.D.)

NPI 1205553534
Dr. Ivori Crawford , PharmD

Pharmacy - Community/Retail Pharmacy

NPI 1558933549

Doctor of Pharmacy (Pharm.D.)

NPI 1659667913

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 08, 2020

Record deactivated on September 08, 2020

NPI Profile Active June 24, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 24, 2011

Registered at 15300 GROVE CIR N, T-2193, MAPLE GROVE, MN 553694469 (Tel: 7634472507)

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Updated Business Mailing Address June 24, 2011

Registered at 15300 GROVE CIR N, T-2193, MAPLE GROVE, MN 553694469 (Tel: 7634472507)

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Provider Name / Credentials Updated June 24, 2011

Recorded as NICOLE HOLMES, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2011

Pharmacist (License #118414 in MN)

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Initial NPI Registration & Enumeration June 24, 2011

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: 1174819437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2011
Last Update: June 24, 2011
Deactivation Date: September 08, 2020

Mailing Address

15300 Grove Cir N, T-2193

Maple Grove, MN 553694469

Phone: 7634472507

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.