NPIMap

Organization Active NPI

Bourbontown Pharmacy LLC

Doing business as Bourbontown Pharmacy

  • Pharmacy
  • Paris, KY
National Provider Identifier
1033750187
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BOURBONTOWN PHARMACY LLC
Doing business as
Bourbontown Pharmacy
Practice address
1822 Main St
Paris, KY 40361-1109
Phone
(859) 900-0991
NPI assigned
Sep 30, 2019
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Justin BellNPI 1780225839
Title
President
Phone
(502) 370-4336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1822 Main St
Paris, KY 40361-1109

Mailing address

1002 S Broadway St Ste 7
Georgetown, KY 40324-1463

Other names 1

  • Bourbontown Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1822 Main St
Paris, KY 40361
Phone (859) 900-0330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1033750187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S BROADWAY ST STE 7",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 MAIN ST",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403611109",
            "telephone_number": "859-900-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURBONTOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-370-4336"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourbontown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.