Bolivar General Hospital Pharmacy

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

1402 Issued in TN

Legal business name

BOLIVAR GENERAL HOSPITAL PHARMACY

Practice address

650 Nuckolls Rd
Bolivar, TN 38008-1532

Phone

(731) 658-3100

Fax

(731) 659-0289

NPI assigned

Feb 14, 2007

Organization subpart

No

Name

Dr. Laurie Young Craft, PHARM.D.

Title

Pharmacy Director

Phone

(731) 659-0251

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

• Bolivar General Hospital, Inc.

  • General Acute Care Hospital
  • Bolivar, TN
  • NPI 1174545446
  NPD tax ID

Tax ID family

Bolivar General Hospital (2 organizations share this tax ID)

• Bolivar General Hospital Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "1402",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolivar General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 General Hospital, Inc.
• Bolivar General Hospital, Inc.
• Bolivar General Hospital, Inc.
• Bolivar Health & Rehabilitation LLC

• All providers in Bolivar, TN
• Institutional Pharmacy in Tennessee

• 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.