Bon Harbor RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BON HARBOR RX, LLC

Doing business as

Nation's Medicines

Practice address

415 Carter Rd
Owensboro, KY 42301

Phone

(270) 685-0557

Fax

(270) 688-5858

NPI assigned

Sep 12, 2006

Last updated

Apr 7, 2021By 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

David Larry Nation

Title

Member/Pharmacist

Phone

(270) 864-5398

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Nation's Medicines Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• Dawn Renee Reyes, RPH

  • Pharmacist
  • Owensboro, KY
  • NPI 1649948571
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1992809958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 BURLEW BLVD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036486",
            "telephone_number": "270-684-5398",
            "fax_number": "270-685-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CARTER RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-685-0557",
            "fax_number": "270-688-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON HARBOR RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "NATION",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "MEMBER/PHARMACIST",
        "authorized_official_telephone_number": "270-864-5398"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO1433",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90330309",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54017090",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030122",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nation's Medicines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Marie Boles, DPT
• Shafe D. Boles, M.D.
• Mary Elizabeth Bolin, DPT
• Michael Boling, CSW
• Mychal Bolton
• James Wes Booker, DMD
• Kerri Booker
• Valorie G Boone, CSW
• Alysia Booth, LCSW
• Jennifer A Booth, NP

• Community/Retail Pharmacy in Owensboro, KY
• Providers in Owensboro, 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 Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.