DR. LISA ANNE HOLY (NPI# 1821326398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821326398 |
| Entity Type | Individual |
| Full Name | DR. LISA ANNE HOLY |
| Credential | PHARMD |
| Practice Address |
9875 Hospital Dr Maple Grove MN 55369-4648 |
| Practice Telephone | 7635811080 |
| Mailing Telephone | 7635811080 |
| Enumeration Date | 2009-11-22 |
| Last Update Date | 2012-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
119290 | MN | Pharmacy Service Providers |
| Street Address |
9875 HOSPITAL DR |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356312722 | Ahmed Ali Omar | Internal Medicine | 9875 Hospital Dr, Suite 3009, Maple Grove, MN 55369-4648 | 2006-02-01 |
| 1255951190 | Minnesota Neonatal Specialists | Pediatrics | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2020-04-21 |
| 1770028748 | Maple Grove Hospital Corporation | Pharmacy | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2016-12-30 |
| 1518336379 | Megan Ann Merrill | Nurse Practitioner | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2015-09-22 |
| 1023358546 | Kayla Jane Runkle | Nurse Anesthetist, Certified Registered | 9875 Hospital Dr, Maple Grove, MN 55369 | 2013-02-20 |
| 1780972265 | Vandi Jo Anderson | Pharmacist | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2011-07-18 |
| 1265748230 | Maple Grove Hospital Corporation | Non-Pharmacy Dispensing Site | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2010-08-27 |
| 1639484843 | Yetmwork Berhanu | Internal Medicine | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2010-08-11 |
| 1255659538 | Christina Patricia Russell | Pediatrics | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2010-05-11 |
| 1568614816 | Khandurao Bhanudas Khot | Hospitalist | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2008-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1215470943 | Kaitlyn Latour | Pharmacist | 3500 County Road 39 Nw, Maple Lake, MN 55358-3019 | 2016-11-29 |
| 1124413604 | Philip Kohls | Pharmacist | 523 Lake Ave, Saint Paul, MN 55110-1631 | 2015-04-01 |
| 1346671112 | Consultant Pharmacists Inc | Pharmacist | 1413 Hoot Lake Dr, Fergus Falls, MN 56537-3953 | 2013-12-04 |
| 1215377650 | Jennifer Ann Marquart | Pharmacist | 15517 Post Rd, Wayzata, MN 55391-2116 | 2013-06-30 |
| 1174860795 | Ruonan Zhang | Pharmacist | 1925 West County Road B2, Roseville, MN 55113 | 2013-01-16 |
| 1265700991 | Ali Mahamud | Pharmacist | 681 Central Ave W, Saint Paul, MN 55104-4821 | 2011-12-08 |
| 1760767834 | Agnes Njema Azeh | Pharmacist | 99 Maryland Ave W, Saint Paul, MN 55117-4528 | 2011-10-19 |
| 1003134495 | Beth J Alexander | Pharmacist | 1302 Palace Ave, Saint Paul, MN 55105-2952 | 2010-05-10 |
| 1225279763 | Rick John Melbye | Pharmacist | 3210 Rivershore Dr, Moorhead, MN 56560-5549 | 2009-03-12 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.