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A.G. HOLLEY STATE HOSPITAL
NPI 1295811032
Pharmacy - Institutional Pharmacy in Lantana, FL

Active since October 27, 2006
1199 LANTANA RD, LANTANA, FL 33462(561) 540-3721(561) 545-0372 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About A.g. Holley State Hospital NPPES

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

A.G. HOLLEY STATE HOSPITAL (NPI 1295811032) is a healthcare organization registered as an institutional pharmacy in Lantana, Florida and active in the NPI registry since October 2006. The organization lists Jerry Jean Stambaugh, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1295811032
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameA.G. HOLLEY STATE HOSPITAL
Location Address1199 LANTANA RDLantana, FL 33462-1514
Mailing Address1199 Lantana RdLantana, FL 33462-1514 · (561) 540-3721 · Fax (561) 545-0372
Phone(561) 540-3721
Fax(561) 545-0372
Organization SubpartNo
Authorized OfficialJerry Jean StambaughPharmacist · (561) 540-3721
Enumeration DateOctober 27, 2006
Last NPPES UpdateJune 13, 2008
✔ NPI 1295811032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in FL · PH0016562
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
1199 LANTANA RD, Lantana, FL 33462
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Other Identifiers 1

Medicaid0215171-00FL

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 A.G. Holley State Hospital's NPI number?

The NPI number for A.G. Holley State Hospital is 1295811032. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is A.G. Holley State Hospital located?

A.G. Holley State Hospital is located at 1199 Lantana Rd, Lantana, FL 33462. The listed phone number is (561) 540-3721.

What is A.G. Holley State Hospital's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

When was this NPI record last updated?

The NPPES record for A.G. Holley State Hospital was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.