NPIMap

Organization Active NPI

Houchens Express Pharmacy LLC

Doing business as Sheldon's Express Pharmacy

  • Community/Retail Pharmacy
  • Bowling Green, KY
National Provider Identifier
1770680514
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07331 Issued in KY
Legal business name
HOUCHENS EXPRESS PHARMACY LLC
Doing business as
Sheldon's Express Pharmacy
Practice address
843 Fairview Ave
Bowling Green, KY 42101-4914
Phone
(270) 842-4515
Fax
(270) 783-7484
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Leslie Bidwell
Title
Ppharmacy Operations Coordinator
Phone
(270) 901-3431

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07331 KY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

843 Fairview Ave
Bowling Green, KY 42101-4914

Mailing address

843 Fairview Ave
Bowling Green, KY 42101-4914
Phone (270) 842-4515

Other identifiers 2

IdentifierTypeStateIssuer
7100083020MedicaidKY
2119603OtherPK

Other names 1

  • Sheldon's Express Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930087186 KY DME Supplier - Pharmacy 6305044850 Practice locations: Bowling Green, KY
O20120204000048 KY Part B Supplier - Mass Immunization (Roster Biller Only) 6305044850 3 other NPIs on this enrollment
Practice locations: Bowling Green, KY; Franklin, KY

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Houchens Express Pharm LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1770680514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 FAIRVIEW AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014914",
            "telephone_number": "270-842-4515",
            "fax_number": "270-783-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 FAIRVIEW AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014914",
            "telephone_number": "270-842-4515",
            "fax_number": "270-783-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUCHENS EXPRESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PPHARMACY OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "270-901-3431"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07331",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100083020",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheldon's Express 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 Feb 22, 2017; 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.