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HINES PHARMACY AT WKOA LLC NPI 1982875514


NPI Information

NPI: 1982875514
Provider Name: HINES PHARMACY AT WKOA LLC

Doing Business As: HINES PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 18D2169748

Address:
165 NATCHEZ TRACE AVE
STE 101
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 796-1818
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HINES PHARMACY AT WKOA LLC is a community/retail pharmacy pharmacy in Bowling Green, KY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HINES PHARMACY AT WKOA LLC NPI is 1982875514. The provider is registered as an organization entity type.
The provider Is Doing Business As Hines Pharmacy.

The provider's business location address is:

165 NATCHEZ TRACE AVE
STE 101
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 796-1818
Fax: (270) 796-1988

The provider's authorized official is Greg Hines .
The authorized official title is President and has the following contact phone number (270) 796-1818.

The CLIA number assigned to this NPI record is 18D2169748 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 6/28/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyP07245KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100037420MEDICAIDKENTUCKY
22035125OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.