Active NPI
Bolivar General Hospital Pharmacy
Doing business as Bolivar General Hospital
- Institutional Pharmacy
- Bolivar, TN
National Provider Identifier
1205979002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 1402
- Legal business name
- BOLIVAR GENERAL HOSPITAL PHARMACY
- Doing business as
- Bolivar General Hospital
- Practice address
- 650 Nuckolls Rd
Bolivar, TN 38008-1532 - Phone
- (731) 658-3100
- Fax
- (731) 659-0289
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. Laurie Young Craft, PHARM.D.
- Title
- Pharmacy Director
- Phone
- (731) 659-0251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 1402 | TN | Primary |
Addresses
Primary practice location
650 Nuckolls Rd
Bolivar, TN 38008-1532
Mailing address
650 Nuckolls Rd
PO Box 509
Bolivar, TN 38008-1532
Phone (731) 658-3100
Other names 1
- Bolivar General Hospital
National Provider Directory
National Provider Directory- Tax ID family
- Bolivar General Hospital
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bolivar ER
- General Acute Care Hospital
- Bolivar, TN
- NPI 1174545446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205979002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 NUCKOLLS RD",
"address_2": "PO BOX 509",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081532",
"telephone_number": "731-658-3100",
"fax_number": "731-659-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NUCKOLLS RD",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081532",
"telephone_number": "731-658-3100",
"fax_number": "731-659-0289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOLIVAR GENERAL HOSPITAL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CRAFT",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "YOUNG",
"authorized_official_title_or_position": "PHARMACY DIRECTOR",
"authorized_official_telephone_number": "731-659-0251",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "TN",
"license": "1402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bolivar General Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bolivar, TN
- Maggie G. Billings, FNP, BC
- Hannah Black, DPT
- John Lee Blankenship, M.D.
- Louis E Bogard, DDS
- Bolivar Assisted Care Living, LLC
- Bolivar General Hospital, Inc. (Bolivar ER)
- Bolivar General Hospital, Inc. (West Tennessee Healthcare Bolivar Hospital)
- Bolivar General Hospital, Inc. (West Tennessee Medical Group Primary Care Bolivar)
- Bolivar General Hospital, Inc. (West Tennessee Healthcare Bolivar Hospital)
- Bolivar Health & Rehabilitation LLC
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.