OrganizationActive
Holiday Rx Inc
NPI 1063652584 · Community/Retail Pharmacy · Phoenix, AZ
Holiday Rx Inc is a Community/Retail Pharmacy organization in Phoenix, AZ (NPI 1063652584).
Provider details
- NPI number
- 1063652584
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lance Katsuocuzakao, Vice President(310) 738-9881
- License
- Y005095 (AZ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
303 E Baseline Rd
103
Phoenix, AZ 85042-6530
Phone: (602) 276-5821
Street-level locationGet directions
Mailing address
4143 Via Marina Apt 819
Marina Del Rey, CA 90292-5306
Other names (DBA / former)
- Doing business as
- Holiday Rx Inc
Registry dates
- Enumerated
- 2009-02-24
- Last updated
- 2009-03-13
Frequently asked questions
- What is Holiday Rx Inc's NPI number?
- Holiday Rx Inc's National Provider Identifier (NPI) is 1063652584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holiday Rx Inc?
- Holiday Rx Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Holiday Rx Inc located?
- Holiday Rx Inc's practice location on file with NPPES is 303 E Baseline Rd, Phoenix, AZ 85042-6530.
- What is Holiday Rx Inc's phone number?
- The practice phone number listed in the NPPES registry for Holiday Rx Inc is (602) 276-5821.
- Who is the authorized official for Holiday Rx Inc?
- The authorized official listed on Holiday Rx Inc's NPPES record is Lance Katsuocuzakao, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holiday Rx Inc's NPI active?
- Yes — Holiday Rx Inc's NPI (1063652584) is active in the NPPES registry as of the last update on 2009-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.