Provider Demographics
NPI:1881258614
Name:HOUCHENS EXPRESS PHARMACY, LLC
Entity type:Organization
Organization Name:HOUCHENS EXPRESS PHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-901-3431
Mailing Address - Street 1:8439 NASHVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-8721
Mailing Address - Country:US
Mailing Address - Phone:270-936-6080
Mailing Address - Fax:270-936-6151
Practice Address - Street 1:8439 NASHVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-8721
Practice Address - Country:US
Practice Address - Phone:270-936-6080
Practice Address - Fax:270-936-6151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1838107OtherNCPDP
KYP08056OtherPHARMACY PERMIT
KYP08056OtherPHARMACY PERMIT