Organization Active NPI

Hines Pharmacy Inc.

  • Community/Retail Pharmacy
  • Bowling Green, KY
National Provider Identifier
1245323997
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06102 Issued in KY
Legal business name
HINES PHARMACY INC.
Practice address
1340 Ky Highway 185
Bowling Green, KY 42101-9691
Phone
(270) 842-4341
Fax
(270) 842-7893
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Greg Hines, BSNPI 1033195862
Title
President Pharmacist
Phone
(270) 842-4341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P06102 KY Primary

Addresses

Primary practice location

1340 Ky Highway 185
Bowling Green, KY 42101-9691

Mailing address

1340 Ky Highway 185
Bowling Green, KY 42101-9691
Phone (270) 842-4341

Other identifiers 2

IdentifierTypeStateIssuer
54030176MedicaidKY
2031910OtherPK

Other names 1

  • HINES PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101028000007 KY Part B Supplier - Mass Immunization (Roster Biller Only) 9638299977 Practice locations: Bowling Green, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2169739Hines Pharmacy Inc1340 Ky Highway 185, Bowling Green, KY 42101Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory

Locations

1340 KY Highway 185
Bowling Green, KY 42101
Phone (270) 842-4341

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1245323997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 KY HIGHWAY 185",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421019691",
            "telephone_number": "270-842-4341",
            "fax_number": "270-842-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 KY HIGHWAY 185",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421019691",
            "telephone_number": "270-842-4341",
            "fax_number": "270-842-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINES PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "270-842-4341",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54030176",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HINES 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 Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.