Active NPI
Elizabeth Kelli Bovenizer Louthan, PHARM D
- Pharmacist
- Bluefield, WV
National Provider Identifier
1992009476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0007134
- Practice address
- 3032 E Cumberland Rd
Bluefield, WV 24701-4858 - Phone
- (304) 327-0823
- NPI assigned
- Dec 27, 2010
- Sex
- Female
- Sole proprietor
- No
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.
-
- Community/Retail Pharmacy
- Bluefield, WV
- NPI 1699709485
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0007134 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0007134 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3032 E Cumberland Rd
Bluefield, WV 24701-4858
Mailing address
662 Tanager Dr
Bluefield, VA 24605-9422
Phone (540) 320-6067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2010.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293408000000",
"number": "1992009476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 TANAGER DR",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246059422",
"telephone_number": "540-320-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3032 E CUMBERLAND RD",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014858",
"telephone_number": "304-327-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVENIZER LOUTHAN",
"first_name": "ELIZABETH",
"middle_name": "KELLI",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-27",
"last_updated": "2010-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.