Active NPI
Park Street Partners,LLP
Doing business as Urgentcare Pharmacy
- Community/Retail Pharmacy
- Bowling Green, KY
National Provider Identifier
1003826777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07128
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1829639 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- URGENTCARE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Corpcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba CorpCare
- Corporate Health Clinic/Center
- Bowling Green, KY
- NPI 1467708180
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.