Organization Active NPI

C H & R LLC

  • Community/Retail Pharmacy
  • Bowling Green, KY
National Provider Identifier
1932264017
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07278 Issued in KY
Legal business name
C H & R LLC
Practice address
3158 Louisville Rd
Bowling Green, KY 42101-7102
Phone
(270) 842-6161
Fax
(270) 782-7466
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Myra Ray, RPHNPI 1649486283
Title
Owner, Pic, Ao
Phone
(270) 842-6161

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07278 KY Primary

Addresses

Primary practice location

3158 Louisville Rd
Bowling Green, KY 42101-7102

Mailing address

3158 Louisville Rd
Bowling Green, KY 42101-7102
Phone (270) 842-6161

Other identifiers 2

IdentifierTypeStateIssuer
2152518OtherPK
7100360690MedicaidKY

Other names 1

  • Northgate Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160517000647 KY Part B Supplier - Mass Immunization (Roster Biller Only) 8022326958 Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory

Locations

3158 Louisville Rd
Bowling Green, KY 42101
Phone (270) 842-6161

Practitioners & affiliated clinicians

Practitioners 4

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1932264017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 LOUISVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017102",
            "telephone_number": "270-842-6161",
            "fax_number": "270-782-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 LOUISVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017102",
            "telephone_number": "270-842-6161",
            "fax_number": "270-782-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C H & R LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "270-842-6161",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152518",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100360690",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northgate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northgate 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 Nov 9, 2022; 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.