BARDWELL PHARMACY LLC NPI 1720468689

NPI Details

BARDWELL PHARMACY LLC is a community/retail pharmacy pharmacy in Bardwell, 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. BARDWELL PHARMACY LLC NPI is 1720468689. The provider is registered as an organization entity type.

The provider's business location address is:

178 U.S. HWY 51 N
BARDWELL, KY
ZIP 42023
Phone: (270) 628-5445
Fax: (270) 628-3179

The provider's authorized official is Michael Shawn Boaz .
The authorized official title is Pharm D and has the following contact phone number (270) 628-5445.

The CLIA number assigned to this NPI record is 18D0950629 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 6/5/2015 and was last updated on 8/19/2024.

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: