NPIMap

Organization Active NPI

Houchens Express Pharmacy LLC

Doing business as Sheldon's Express Pharmacy #5

  • Community/Retail Pharmacy
  • Bowling Green, KY
National Provider Identifier
1336547579
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07661 Issued in KY
Legal business name
HOUCHENS EXPRESS PHARMACY LLC
Doing business as
Sheldon's Express Pharmacy #5
Practice address
5575 Scottsville Rd
Bowling Green, KY 42104
Phone
(270) 715-0650
Fax
(270) 715-0655
NPI assigned
Dec 19, 2014
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Steven E Sheldon
Title
President/Ceo
Phone
(270) 392-0821

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X P07661 KY Primary

Addresses

Primary practice location

5575 Scottsville Rd
Bowling Green, KY 42104

Mailing address

843 Fairview Ave
Bowling Green, KY 42101-4914
Phone (270) 715-0650

Other identifiers 4

IdentifierTypeStateIssuer
P07661OtherKYPHARMACY PERMIT
7100335780MedicaidKY
1834692OtherKYNCPDP
K189870OtherKYMEDICARE FLU

Other names 1

  • Sheldon's Express Pharmacy #5 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150227000617 KY Part B Supplier - Mass Immunization (Roster Biller Only) 6305044850 Practice locations: Bowling Green, KY
O20150602002766 KY DME Supplier - Pharmacy 6305044850 Practice locations: Bowling Green, KY

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sheldon's Express Pharmacy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336547579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 FAIRVIEW AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014914",
            "telephone_number": "270-715-0650",
            "fax_number": "270-715-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42104",
            "telephone_number": "270-715-0650",
            "fax_number": "270-715-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUCHENS EXPRESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "270-392-0821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "P07661",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100335780",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1834692",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU",
            "identifier": "K189870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheldon's Express Pharmacy #5",
            "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.