Bardwell Pharmacy LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BARDWELL PHARMACY LLC

Doing business as

Bardwell Pharmacy DME

Practice address

178 US Highway 51 N
Bardwell, KY 42023-9096

Phone

(270) 628-5445

Fax

(270) 628-3179

NPI assigned

Feb 27, 2020

Last updated

Feb 27, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BARDWELL PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Dr. Chris Augustus, PHARMDNPI 1083994784

Title

Owner/Pharmacist

Phone

(270) 628-5445

Specialties & licenses 2

Addresses

Other names 1

• Bardwell Pharmacy DME Doing business as

Tax ID family

Bardwell Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Bardwell Pharmacy LLC

Other organizations with this tax ID 1

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

• Bardwell Pharmacy LLC

  dba Bardwell Pharmacy LTC

  • Long Term Care Pharmacy
  • Bardwell, KY
  • NPI 1750879524
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chris Augustus, PHARM.D

  • Pharmacist
  • Bardwell, KY
  • NPI 1083994784
  Authorized official Same address or phone

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1851925986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "BARDWELL",
            "state": "KY",
            "postal_code": "420230335",
            "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 US HIGHWAY 51 N",
            "city": "BARDWELL",
            "state": "KY",
            "postal_code": "420239096",
            "telephone_number": "270-628-5445",
            "fax_number": "270-628-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDWELL PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARDWELL PHARMACY LLC",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "AUGUSTUS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "270-628-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bardwell Pharmacy DME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bardwell Pharmacy DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris Augustus, PHARM.D
• Kelsey Ballard, LPTA
• Bardwell Pharmacy
• Bardwell Pharmacy LLC
• Bardwell Pharmacy LLC (Bardwell Pharmacy LTC)
• Bardwell Wellness Center LLC (Bardwell Wellness Center)
• Behavioral Health Solutions (Behaviorial Health of Bardwell)
• Natalie J Belt, COTA/L
• John Allen Boyd, D.D.S.
• Carlisle Co Elementary School Clinic

• Durable Medical Equipment & Medical Supplies in Bardwell, KY
• Providers in Bardwell, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.