Organization Active NPI

Park Street Partners,LLP

Doing business as Urgentcare Pharmacy

  • Community/Retail Pharmacy
  • Bowling Green, KY
National Provider Identifier
1003826777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07128 Issued in KY
Legal business name
PARK STREET PARTNERS,LLP
Doing business as
Urgentcare Pharmacy
Practice address
1225 Fairway St
Ste 100
Bowling Green, KY 42103-2477
Phone
(270) 796-3500
Fax
(270) 796-3562
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melinda Joyce, PHARMD
Title
Director of Pharmacy
Phone
(270) 745-1640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P07128 KY Primary

Addresses

Primary practice location

1225 Fairway St
Ste 100
Bowling Green, KY 42103-2477

Mailing address

1225 Fairway St
Ste 100
Bowling Green, KY 42103-2477

Other identifiers 1

IdentifierTypeStateIssuer
1829639OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • URGENTCARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corpcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1225 Fairway St
#100
Bowling Green, KY 42103
Phone (270) 796-3500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003826777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 FAIRWAY ST",
            "address_2": "STE 100",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FAIRWAY ST",
            "address_2": "STE 100",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032477",
            "telephone_number": "270-796-3500",
            "fax_number": "270-796-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK STREET PARTNERS,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "270-745-1640",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1829639",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "URGENTCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.