Active NPI
Owensboro Health, Inc
- Community/Retail Pharmacy
- Henderson, KY
National Provider Identifier
1710691720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- OWENSBORO HEALTH, INC
- Practice address
- 1200 Barret Blvd
Henderson, KY 42420-4950 - Phone
- (270) 844-8602
- NPI assigned
- Jan 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russ Ranallo
- Title
- Cfo
- Phone
- (270) 685-7180
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1200 Barret Blvd
Henderson, KY 42420-4950
Mailing address
1200 Barret Court
Henderson, KY 42420
Phone (270) 844-8602
Other names 1
- Owensboro Health Henderson Healthplex Pharmacy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2116582 | Owensboro Health Henderson Healthplex | Certificate of waiver | Jul 27, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Owensboro Medical Health
Other organizations with this tax ID 13
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-
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-
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-
- Community/Retail Pharmacy
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-
- Clinical Social Worker
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-
- Community/Retail Pharmacy
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-
- Counselor
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1710691720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BARRET COURT",
"city": "HENDERSON",
"state": "KY",
"postal_code": "42420",
"telephone_number": "270-844-8602",
"fax_number": "270-844-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BARRET BLVD",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424204950",
"telephone_number": "270-844-8602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OWENSBORO HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-13",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "RANALLO",
"authorized_official_first_name": "RUSS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "270-685-7180"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Owensboro Health Henderson Healthplex Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Henderson Healthplex Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.