Bowling Family Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Barbourville, KY
NPI 1295969863 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1295969863
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07340 (KY)
- Legal business name
- BOWLING FAMILY PHARMACY LLC
- Practice address
- 314 Treuhaft Blvd
Barbourville, KY 40906-7313 - Phone
- (606) 546-2210
- Fax
- (606) 546-2280
- NPI assigned
- May 11, 2009
- Organization subpart
- No
Authorized official
- Name
- Ron Christopher Bowling, PHARM.D.
- Title
- Owner/Pharmacist in Charge
- Phone
- (606) 627-2001
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 2
-
Ron Christopher Bowling, PHARM.D
-
Kristen Nicole Bowling, PHARM.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091006000447 | KY | Part B Supplier - Pharmacy | 6103962154 | Practice locations: Barbourville, KY |
| O20100930036870 | KY | DME Supplier - Pharmacy | 6103962154 | Practice locations: Barbourville, KY |
National Provider Directory
- Tax ID family
- Bowling Family Pharmacy LLC
Locations
315 Hospital Dr
Ste 6
Barbourville, KY 40906
Phone (606) 546-2210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P07340 | KY | |
| Community/Retail Pharmacy | 3336C0003X | P07340 | KY | Yes |
Addresses
Primary practice location
314 Treuhaft Blvd
Barbourville, KY 40906-7313
Mailing address
314 Treuhaft Blvd
Barbourville, KY 40906-7313
Phone (606) 546-2210
Other names
- Bowling Family Pharmacy
Other providers in Barbourville, KY
- Trinity Jared Blevins
- Sheila Boatright
- Jennifer Noelle Boehmer
- Glenda Boles
- Robin Elaine Bonnell
- Bowling Family Pharmacy LLC
- Kristen Nicole Bowling
- Ron Christopher Bowling
- Douglas Branch
- Brent Barrett Inc
All providers in Barbourville, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.