IndividualActive
Jack Holt, RPH
NPI 1104168624 · Pharmacist · Vancouver, WA
Jack Holt, RPH is a Pharmacist provider in Vancouver, WA (NPI 1104168624).
Provider details
- NPI number
- 1104168624
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- RPH-0007279 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone: (360) 213-2232
Fax: (360) 213-2238
Street-level locationGet directions
Mailing address
916 W Evergreen Blvd
Vancouver, WA 98660-3035
Registry dates
- Enumerated
- 2013-03-22
- Last updated
- 2013-04-30
Frequently asked questions
- What is Jack Holt's NPI number?
- Jack Holt's National Provider Identifier (NPI) is 1104168624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Holt's specialty?
- Jack Holt is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jack Holt located?
- Jack Holt's practice location on file with NPPES is 916 W Evergreen Blvd, Vancouver, WA 98660-3035.
- What is Jack Holt's phone number?
- The practice phone number listed in the NPPES registry for Jack Holt is (360) 213-2232.
- Is Jack Holt's NPI active?
- Yes — Jack Holt's NPI (1104168624) is active in the NPPES registry as of the last update on 2013-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.