John William Bushong, RPH
Individual provider Active NPI Pharmacist · Tompkinsville, KY
NPI 1760029003 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1760029003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7540 (KY)
- Practice address
- 709 N Main St
Tompkinsville, KY 42167-1129 - Phone
- (270) 407-1141
- Fax
- (270) 407-5051
- NPI assigned
- Dec 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7540 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bushong Family Pharmacy | Current |
Accepting new patients |
Locations
709 N Main St
Tompkinsville, KY 42167
Phone (270) 407-5045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7540 | KY | Yes |
Addresses
Primary practice location
709 N Main St
Tompkinsville, KY 42167-1129
Mailing address
709 N Main St
Tompkinsville, KY 42167-1129
Phone (270) 407-1141
Other providers in Tompkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.