Active NPI
Stephanie Renfro, PHARMD/MBA
- Pharmacist
- Bowling Green, KY
National Provider Identifier
1871876276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014595
- Practice address
- 1145 US 31W Byp
Bowling Green, KY 42101-2419 - Phone
- (270) 842-3339
- Fax
- (270) 842-4139
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 014595 | KY | Primary |
Addresses
Primary practice location
1145 US 31W Byp
Bowling Green, KY 42101-2419
Mailing address
1145 US 31W Byp
Bowling Green, KY 42101-2419
Phone (270) 842-3339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014595 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1871876276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 US 31W BYP",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421012419",
"telephone_number": "270-842-3339",
"fax_number": "270-842-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 US 31W BYP",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421012419",
"telephone_number": "270-842-3339",
"fax_number": "270-842-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFRO",
"first_name": "STEPHANIE",
"credential": "PHARMD/MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "014595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.