Bardwell Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06353 Issued in KY

Legal business name

BARDWELL PHARMACY LLC

Practice address

178 U.S. Hwy 51 N
Bardwell, KY 42023

Phone

(270) 628-5445

Fax

(270) 628-3179

NPI assigned

Jun 5, 2015

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Shawn Boaz, PHARM D

Title

Pharm D

Phone

(270) 628-5445

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1720468689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 U.S. HWY 51 N",
            "city": "BARDWELL",
            "state": "KY",
            "postal_code": "42023",
            "telephone_number": "270-628-5445",
            "fax_number": "270-628-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 U.S. HWY 51 N",
            "city": "BARDWELL",
            "state": "KY",
            "postal_code": "42023",
            "telephone_number": "270-628-5445",
            "fax_number": "270-628-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDWELL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BOAZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PHARM D",
        "authorized_official_telephone_number": "270-628-5445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcare (Arcare Pharmacy 146)
• Arcare (KentuckyCare)
• Chris Augustus, PHARM.D
• Kelsey Ballard, LPTA
• Bardwell Pharmacy
• Bardwell Pharmacy LLC (Bardwell Pharmacy LTC)
• Bardwell Pharmacy LLC (Bardwell Pharmacy DME)
• Bardwell Wellness Center LLC (Bardwell Wellness Center)
• Behavioral Health Solutions (Behaviorial Health of Bardwell)
• Natalie J Belt, COTA/L

• Community/Retail Pharmacy in Bardwell, KY
• Providers in Bardwell, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.