MARY COURTNEY BUSHONG (NPI# 1255978508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255978508 |
| Entity Type | Individual |
| Full Name | MARY COURTNEY BUSHONG |
| Credential | DPH |
| Practice Address |
709 N Main St Tompkinsville KY 42167-1129 |
| Practice Telephone | 2704075045 |
| Practice Fax Number | 2704075151 |
| Mailing Telephone | 2704075045 |
| Mailing Fax Number | 2704075151 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14288 | KY | Pharmacy Service Providers |
| Street Address |
709 N MAIN ST |
| City | TOMPKINSVILLE |
| State | KY |
| Zip Code | 42167-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029003 | John William Bushong | Pharmacist | 709 N Main St, Tompkinsville, KY 42167-1129 | 2019-12-05 |
| 1023564747 | Bushong Family Pharmacy | Pharmacy | 709 N Main St, Tompkinsville, KY 42167 | 2016-09-01 |
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134769 | Stacey Ann Caldwell | Pharmacist | 1650 Edmonton Rd, Tompkinsville, KY 42167-9403 | 2020-11-03 |
| 1760029003 | John William Bushong | Pharmacist | 709 N Main St, Tompkinsville, KY 42167-1129 | 2019-12-05 |
| 1861515157 | Kem Dowell Coe | Pharmacist | 805 N Main St, Tompkinsville, KY 42167-1002 | 2007-04-09 |
| 1629116504 | Andrea Moore Mcalpin | Pharmacist | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2007-02-02 |
| 1013093814 | Deborah Kay Bentley | Pharmacist | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2006-10-27 |
| 1033227103 | John P Nixon | Pharmacist | 200 N Crawford St, Tompkinsville, KY 42167-1617 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1619578812 | Heather Lerae Moore | Pharmacist | 589 Hwy West 92, Williamsburg, KY 407690 | 2020-11-04 |
| 1780285080 | Lori Slusher | Pharmacist | 228 Hawthorne Dr, Nicholasville, KY 40356-8909 | 2020-11-03 |
| 1477154870 | Brian E Russell | Pharmacist | 1195 Barrett Blvd Unit 2, Henderson, KY 42420-7508 | 2020-11-03 |
| 1730789348 | Benjamin Gary Powell | Pharmacist | 3106 Canton Pike, Hopkinsville, KY 42240-1316 | 2020-11-01 |
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1447850789 | Caitlin Brooke Callihan | Pharmacist | 1001 Cherry Blossom Way # Way7, Georgetown, KY 40324-9564 | 2020-10-27 |
| 1871193391 | Christy Mcquade | Pharmacist | 820 Bypass Rd, Winchester, KY 40391-1002 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | TOMPKINSVILLE |
| Zip Code | 42167 |
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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.