HINES PHARMACY AT WKOA LLC (NPI# 1982875514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982875514 |
| Entity Type | Organization |
| Organization Name | HINES PHARMACY AT WKOA LLC |
| Other Organization Name | HINES PHARMACY |
| Practice Address |
165 Natchez Trace Ave Ste 101 Bowling Green KY 42103 |
| Mailing Address |
165 Natchez Trace Ave Ste 101 Bowling Green KY 42103-7940 |
| Practice Telephone | 2707961818 |
| Practice Fax Number | 2707961988 |
| Mailing Telephone | 2707961818 |
| Mailing Fax Number | 2707961988 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | GREG HINES (PRESIDENT) |
| Authorized Official Telephone | 2707961818 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07245 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100037420 | 05 | |
| PK | 2035125 | 01 |
| Other Name | Type Code |
|---|---|
| HINES PHARMACY | Doing Business As Name - Organization |
| Street Address |
165 NATCHEZ TRACE AVE STE 101 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738482 | Craig A Beard | Orthopaedic Surgery | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2005-05-23 |
| 1750924676 | Rachel E Perkins | Nurse Practitioner | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2019-10-23 |
| 1124591318 | Tyler D Miller | Nurse Practitioner | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2019-01-10 |
| 1518449842 | Matthew J. Miller | Physical Therapist | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2018-09-04 |
| 1205292257 | Jonathan Reed Packer | Physical Therapist | 165 Natchez Trace Ave, Suite 200, Bowling Green, KY 42103-7940 | 2016-01-06 |
| 1033595947 | Brittany Leigh Sowders | Nurse Practitioner | 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 | 2015-08-03 |
| 1720482409 | Torie A Hatton | Nurse Practitioner | 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 | 2014-10-09 |
| 1558764928 | Rita Wilson | Nurse Practitioner | 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 | 2014-09-30 |
| 1669872362 | Amy L Hatcher | Nurse Practitioner | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2014-08-29 |
| 1417366402 | Rebecca Grayson | Physical Therapist | 165 Natchez Trace Ave, Ste 200, Bowling Green, KY 42103-7940 | 2014-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 |
|---|---|---|---|---|
| 1588834105 | Sheldon's Express Pharmacy Inc. | Pharmacy | 843 Fairview Avenue Suite B-6, Bowling Green, KY 42101-4914 | 2008-03-11 |
| 1649373382 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 1122 Lovers Ln, Bowling Green, KY 42103-7199 | 2006-09-07 |
| 1932202678 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 704 Us Hwy 31 W Bypass, Bowling Green, KY 42101 | 2006-09-07 |
| 1790791259 | Walgreen Co | Pharmacy | 2385 Nashville Rd, Bowling Green, KY 42101-4144 | 2006-08-01 |
| 1003826777 | Park Street Partners,llp | Pharmacy | 1225 Fairway St, Ste 100, Bowling Green, KY 42103-2477 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
| 1144828724 | Pharmacy Care Center | Pharmacy | 10616 South Ky Hwy 15, Scuddy, KY 41760 | 2020-10-15 |
| 1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
| 1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
| 1912523614 | Oldham Pharmacist Group | Pharmacy | 1000 Cherrywood Pl Ste 100, La Grange, KY 40031-8927 | 2020-06-18 |
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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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.