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Mr. Jack L Holt, RPH

Pharmacist in Vancouver, WA · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104168624

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Registry record

Entity type Individual (Type 1)
Name Mr. Jack L Holt
Credential RPH
Sex Male
Practice address 916 W Evergreen Blvd, Vancouver, WA, 98660
Phone (360) 213-2232
Fax (360) 213-2238
Enumeration date Mar 22, 2013
Last updated in NPPES Apr 30, 2013

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License RPH-0007279 (OR) Primary
RPH · Registered Pharmacist: A licensed pharmacist registered with a state board of pharmacy. About the RPH credential

Other identifiers

Identifier Type State Issuer
RPH-0007279 Other OR PHARMACIST LICENSE
RPH-0007279-P Other OR PHARMACIST PRECEPTOR LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jack Holt?
The National Provider Identifier (NPI) for Jack Holt is 1104168624, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jack Holt practice?
The practice location on file with NPPES is in Vancouver, WA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-30.