Randa Abbas
Individual provider Active NPI Pharmacist · Bowling Green, KY
NPI 1104769785 · NPPES record last updated Apr 10, 2026
Key facts
- NPI
- 1104769785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 025701 (KY)
- Practice address
- 2385 Nashville Rd
Bowling Green, KY 42101-4144 - Phone
- (270) 393-8979
- NPI assigned
- Apr 10, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025701 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 025701 | KY | Yes |
Addresses
Primary practice location
2385 Nashville Rd
Bowling Green, KY 42101-4144
Mailing address
2385 Nashville Rd
Bowling Green, KY 42101-4144
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.