BUSHONG FAMILY PHARMACY (NPI# 1023564747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023564747 |
| Entity Type | Organization |
| Organization Name | BUSHONG FAMILY PHARMACY |
| Other Organization Name | BUSHONG FAMILY PHARMACY |
| Practice Address |
709 N Main St Tompkinsville KY 42167 |
| Mailing Address |
709 N Main St Tompkinsville KY 42167-1129 |
| Practice Telephone | 2704075045 |
| Practice Fax Number | 2704075051 |
| Mailing Telephone | 2704075045 |
| Mailing Fax Number | 2704075051 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | MARY COURTNEY BUSHONG (OWNER) |
| Authorized Official Telephone | 6159708903 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07788 | KY | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100429700 | 05 | |
| PK | 2163593 | 01 |
| Other Name | Type Code |
|---|---|
| Bushong Family Pharmacy | Doing Business As Name - Organization |
| Street Address |
709 N MAIN ST |
| City | TOMPKINSVILLE |
| State | KY |
| Zip Code | 42167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029003 | John William Bushong | Pharmacist | 709 N Main St, Tompkinsville, KY 42167-1129 | 2019-12-05 |
| 1255978508 | Mary Courtney Bushong | Pharmacist | 709 N Main St, Tompkinsville, KY 42167-1129 | 2019-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013252717 | Middle Tennessee Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 529 Cap Harlan Road, Tompkinsville, KY 42167 | 2012-12-06 |
| 1598015067 | Daniel S Hall | Case Manager/Care Coordinator | 800 North Main Street, Tompkinsville, KY 42167 | 2012-09-12 |
| 1013191808 | Monroe County Health Department | Public Health or Welfare | 420 Elementary School Rd., Tompkinsville, KY 42167 | 2007-12-28 |
| 1386828127 | Dr. Rebecca Greer | Dentist | 42 Executive Drive, Tompkinsville, KY 42167 | 2007-12-27 |
| 1639389166 | Monroe Medical Foundation, Inc. | Ambulance | 429 Capp Harlan Road, Tompkinsville, KY 42167 | 2007-05-23 |
| 1043433758 | John Douglas Page | Dentist | 204 W Paige Street, Tompkinsville, KY 42167 | 2007-04-11 |
| 1710011200 | Larry Owen Miller | Dietitian, Registered | 452 E. 4th St, Tompkinsville, KY 42167 | 2007-03-15 |
| 1316023351 | Monroe Medical Foundation, Inc. | Home Health | 417 Capp Harlan Road, Tompkinsville, KY 42167 | 2006-10-31 |
| 1003992462 | Kenneth Ray Crabtree | Family Medicine | 529 Capp Harlan Road, Tompkinsville, KY 42167 | 2006-10-28 |
| 1720013873 | William Michael Carter | Family Medicine | 606 N Main Street, Tompkinsville, KY 42167 | 2006-07-11 |
| Find all providers in zip 42167 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255488300 | Med-coe Inc | Pharmacy | 805 N Main St, Tompkinsville, KY 42167-1002 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | TOMPKINSVILLE |
| Zip Code | 42167 |
Please comment or provide details below to improve the information on BUSHONG FAMILY PHARMACY.
| 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.