BOLIVAR GENERAL HOSPITAL PHARMACY (NPI# 1205979002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205979002 |
| Entity Type | Organization |
| Organization Name | BOLIVAR GENERAL HOSPITAL PHARMACY |
| Other Organization Name | BOLIVAR GENERAL HOSPITAL |
| Practice Address |
650 Nuckolls Rd Bolivar TN 38008-1532 |
| Mailing Address |
650 Nuckolls Rd Po Box 509 Bolivar TN 38008-1532 |
| Practice Telephone | 7316583100 |
| Practice Fax Number | 7316590289 |
| Mailing Telephone | 7316583100 |
| Mailing Fax Number | 7316590289 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LAURIE YOUNG CRAFT (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 7316590251 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
1402 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE PHARMACY LICENSE | 1402 | 01 |
| Other Name | Type Code |
|---|---|
| Bolivar General Hospital | Doing Business As Name - Organization |
| Street Address |
650 NUCKOLLS RD |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518957950 | Bolivar General Hospital, Inc. | Medicare Defined Swing Bed Unit | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-10-26 |
| 1659713386 | Top Flight Medical Group | Specialist | 650 Nuckolls Rd, Specialty Clinic, Bolivar, TN 38008-1532 | 2013-07-23 |
| 1003181819 | Nathan Strickland | Dietitian, Registered | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2012-03-12 |
| 1174545446 | Bolivar General Hospital, Inc. | General Acute Care Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2006-07-24 |
| 1689608853 | Jackson Madison County General Hospital | General Acute Care Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2006-07-11 |
| 1760412654 | George Spanos | Emergency Medicine | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2006-07-04 |
| 1770521940 | William Raymond Carney | Emergency Medicine | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2006-06-02 |
| 1689665754 | Bolivar General Hospital, Inc. | Medicare Defined Swing Bed Unit | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| Find all providers in zip 38008 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801032040 | Turenne Pharmedco Inc | Pharmacy | 2525 Perimeter Place Dr Ste 100, Nashville, TN 37214-3727 | 2008-12-17 |
| 1760601074 | Clinical Solutions | Pharmacy | 416 Mary Lindsay Polk Dr Ste 515, Franklin, TN 37067-6212 | 2007-04-25 |
| 1588712582 | Kroger Limited Partnership I | Pharmacy | 775 Pickwick St, Savannah, TN 38372-3053 | 2007-01-08 |
| 1124199146 | Doctors Hospital Pharmacy Inc | Pharmacy | 420 W Morris Blvd Ste 160b, Morristown, TN 37813-2262 | 2006-11-13 |
| 1861404139 | Del Mar Medical, Inc. | Pharmacy | 198 E Division St, Mt Juliet, TN 37122-3324 | 2006-08-13 |
| 1205841822 | Vans Institutional Pharmacy Inc | Pharmacy | 154 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-07-30 |
| 1912537655 | Stephen W Turski | Pharmacy | 10820 Parkside Dr, Pharmacy Department, Knoxville, TN 37934 | 2020-01-22 |
| 1598395659 | Debbie Smith Turski | Pharmacy | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2020-01-16 |
| 1942489067 | Cannon County Hospital LLC | Pharmacy | 520 W Main St, Smithville, TN 37166-1138 | 2007-10-25 |
| 1487854634 | Cumberland Medical Center Pharmacy | Pharmacy | 421 S Main St, Crossville, TN 38555-5048 | 2007-07-24 |
| Find all providers with the same taxonomy | ||||
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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.