Hines Pharmacy at Wkoa LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07245 Issued in KY

Legal business name

HINES PHARMACY AT WKOA LLC

Doing business as

Hines Pharmacy

Practice address

165 Natchez Trace Ave
Ste 101
Bowling Green, KY 42103

Phone

(270) 796-1818

Fax

(270) 796-1988

NPI assigned

Mar 24, 2008

Last updated

Jun 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greg Hines, BSNPI 1033195862

Title

President

Phone

(270) 796-1818

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HINES PHARMACY Doing business as

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.

• Greg S Hines

  • Pharmacist
  • Bowling Green, KY
  • NPI 1033195862
  NPD Authorized official

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1982875514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 NATCHEZ TRACE AVE",
            "address_2": "STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037940",
            "telephone_number": "270-796-1818",
            "fax_number": "270-796-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NATCHEZ TRACE AVE",
            "address_2": "STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42103",
            "telephone_number": "270-796-1818",
            "fax_number": "270-796-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINES PHARMACY AT WKOA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-796-1818",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035125",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100037420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HINES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HINES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenifer Lynn Hill, APRN
• Paige Hill
• Stuart Allen Hill, D.C.
• Tara Chae Hill
• Hilltop Counseling Services
• Hines Pharmacy Inc. (Hines Pharmacy)
• Elizabeth G Hines, BS, RBT
• Greg S Hines
• Margaret Catherine Hines
• Shaska Lanee Hines

• Community/Retail Pharmacy in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.