Bushong Family Pharmacy

LBN: Bushong Family Pharmacy
Bushong Family Pharmacy is an health care organization with primary practice located at 709 N Main St , Tompkinsville KY 42167. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Bushong Family Pharmacy can be contacted via phone (270) 407-5045, or through Bushong, Mary Courtney via phone (615) 970-8903.

Contact Information

Primary practice address
709 N Main St Tompkinsville KY 42167
Phone: (270) 407-5045
Fax: (270) 407-5051
Website:
Map and Directions
Authorized official contact:
Name: Bushong, Mary Courtney PHARMD
Phone: (615) 970-8903

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07788 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1023564747
LBN Legal business name Bushong Family Pharmacy
DBA Doing business as Bushong Family Pharmacy
Authorized official Bushong, Mary Courtney PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023564747 NPPES
Kentucky MEDICAID 7100429700
Kentucky Other 2163593

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