MR. JACK L HOLT RPH
NPI 1104168624
Pharmacist in Vancouver, WA

Active since March 22, 2013
916 W EVERGREEN BLVD, VANCOUVER, WA 98660(360) 213-2232(360) 213-2238 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack L Holt Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK L HOLT RPH (NPI 1104168624) is an individual pharmacist in Vancouver, Washington, licensed in Oregon (RPH-0007279) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1104168624
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JACK L HOLTCredential: RPH
Location Address916 W EVERGREEN BLVDVancouver, WA 98660-3035
Mailing Address916 W Evergreen BlvdVancouver, WA 98660-3035 · (360) 213-2232 · Fax (360) 213-2238
Fax(360) 213-2238
Sole ProprietorNo
Enumeration DateMarch 22, 2013
Last NPPES UpdateApril 30, 2013
NPI 1104168624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OR · RPH-0007279
Definition
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.
916 W EVERGREEN BLVD, Vancouver, WA 98660

Other Identifiers 2

OtherRPH-0007279OR · Pharmacist License
OtherRPH-0007279-POR · Pharmacist Preceptor License

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
916 W EVERGREEN BLVD
VANCOUVER, WA 98660
Pharmacist
916 W EVERGREEN BLVD
VANCOUVER, WA 98660
Pharmacist
916 W EVERGREEN BLVD
VANCOUVER, WA 98660
Pharmacist
916 W EVERGREEN BLVD
VANCOUVER, WA 98660
Pharmacist
916 W EVERGREEN BLVD
VANCOUVER, WA 98660
Pharmacist
916 W EVERGREEN BLVD
VANCOUVER, WA 98660
Pharmacist
916 W EVERGREEN BLVD
VANCOUVER, WA 98660
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
916 W EVERGREEN BLVD
VANCOUVER, WA 98660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Holt's NPI number?

The NPI number for Jack Holt is 1104168624. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Jack Holt located?

Jack Holt practices at 916 W Evergreen Blvd, Vancouver, WA 98660. The listed phone number is (360) 213-2232.

What is Jack Holt's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jack Holt was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.