Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104168624 Individual Practitioner Male Practitioner

Jack L Holt , RPH

Pharmacist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Jack Holt, RPH is a registered healthcare professional specializing in Pharmacist in Vancouver, WA. Practice services are available at 916 W EVERGREEN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

916 W Evergreen Blvd

Vancouver, WA 986603035

Telephone 3602132232
Fax 3602132238
Associated Practice Facility / Clinic
🏢 Williams Medco Inc Facility NPI 1639162217

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
336 Specialists

Practicing in Vancouver, WA (7956 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 OR RPH-0007279

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist License
RPH-0007279 (OR)
Commercial Insurance / Payer ID Pharmacist Preceptor License
RPH-0007279-P (OR)

Practice Associates & Co-Workers

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

21 Associated Practitioners
NPI 1083057103

Registered Pharmacist

NPI 1093117764

Registered Pharmacist

NPI 1104305077

RPHPHARMD

NPI 1114269495

Registered Pharmacist

NPI 1225371362

Registered Pharmacist

NPI 1235481706

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2013

Registered at 916 W EVERGREEN BLVD, VANCOUVER, WA 986603035 (Tel: 3602132232)

📍
Updated Business Mailing Address April 30, 2013

Registered at 916 W EVERGREEN BLVD, VANCOUVER, WA 986603035 (Tel: 3602132232)

👤
Provider Name / Credentials Updated April 30, 2013

Recorded as JACK HOLT, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2013

Pharmacist (License #RPH-0007279 in OR)

🟢
Initial NPI Registration & Enumeration March 22, 2013

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: 1104168624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2013
Last Update: April 30, 2013
Sole Proprietor: No

Mailing Address

916 W Evergreen Blvd

Vancouver, WA 986603035

Phone: 3602132232

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.