Organization Active NPI

RX LLC

Doing business as Bowling Green Pharmacy

  • Community/Retail Pharmacy
  • Bowling Green, VA
National Provider Identifier
1699859330
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RX LLC
Doing business as
Bowling Green Pharmacy
Practice address
121 Travis St
Bowling Green, VA 22427-0796
Phone
(804) 633-4674
Fax
(804) 633-2314
NPI assigned
Oct 25, 2006
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Luther Brown, RPH
Title
Owner
Phone
(804) 633-4674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201003688 VA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

121 Travis St
Bowling Green, VA 22427-0796

Mailing address

PO Box 796
Bowling Green, VA 22427-0796

Other identifiers 2

IdentifierTypeStateIssuer
8505721MedicaidVA
4835166OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • BOWLING GREEN PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1699859330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224270796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TRAVIS ST",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224270796",
            "telephone_number": "804-633-4674",
            "fax_number": "804-633-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-633-4674",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201003688",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8505721",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4835166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOWLING GREEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.