Organization Active NPI

Medicine Arts Pharmacy LLC

  • Community/Retail Pharmacy
  • Bowling Green, KY
National Provider Identifier
1730325127
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07315 Issued in KY
Legal business name
MEDICINE ARTS PHARMACY LLC
Doing business as
Medicine Arts Pharmacy
Practice address
818 US 31W Byp
Bowling Green, KY 42101-2314
Phone
(270) 843-3202
Fax
(270) 782-8181
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
William BucyNPI 1841433414
Title
Pharmacy Owner
Phone
(270) 843-3202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X P07315 KY Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

818 US 31W Byp
Bowling Green, KY 42101-2314

Mailing address

818 US 31W Byp
Bowling Green, KY 42101-2314
Phone (270) 843-3202

Other identifiers 2

IdentifierTypeStateIssuer
7100068740MedicaidKY
2118500OtherPK

Other names 1

  • Medicine Arts Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091117000527 KY Part B Supplier - Mass Immunization (Roster Biller Only) 1759429400 Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory

Locations

818 US 31W Byp
Bowling Green, KY 42101
Phone (270) 843-3202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1730325127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012314",
            "telephone_number": "270-843-3202",
            "fax_number": "270-782-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012314",
            "telephone_number": "270-843-3202",
            "fax_number": "270-782-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE ARTS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "BUCY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "270-843-3202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07315",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100068740",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Arts Pharmacy",
            "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 Dec 28, 2015; 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.