BUSHONG FAMILY PHARMACY
NPI 1023564747
Pharmacy in Tompkinsville, KY

Active since September 01, 2016CLIA 18D2175589 · Waiver
709 N MAIN ST, TOMPKINSVILLE, KY 42167(270) 407-5045(270) 407-5051 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2020, Jun 13, 2018, Jan 17, 2017 and 4 more (7 updates tracked since 2016).

About Bushong Family Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUSHONG FAMILY PHARMACY (NPI 1023564747) is a healthcare organization registered as a pharmacy in Tompkinsville, Kentucky and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Mary Courtney Bushong, Owner, as its authorized official.

NPPES Registry Identity

NPI1023564747
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBUSHONG FAMILY PHARMACY
Location Address709 N MAIN STTompkinsville, KY 42167
Mailing Address709 N Main StTompkinsville, KY 42167-1129 · (270) 407-5045 · Fax (270) 407-5051
Fax(270) 407-5051
Organization SubpartNo
Authorized OfficialMary Courtney BushongOwner · (615) 970-8903
Enumeration DateSeptember 1, 2016
Last NPPES UpdateSeptember 1, 20207 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
NPI 1023564747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License P07788 (KY)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
709 N MAIN ST, Tompkinsville, KY 42167

Other Names 1

Doing Business AsBushong Family Pharmacy

Other Identifiers 2

Medicaid7100429700KY
Other2163593Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2175589

Bushong Family Pharmacy, LLC · Tompkinsville, KY
Active · expires Nov 24, 2027
CLIA Number18D2175589
Laboratory TypePharmacy
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorMs. Mary Courtney Bushong
Laboratory Phone(270) 407-5045
Laboratory LocationBushong Family Pharmacy, LLC709 N Main St, Tompkinsville, KY 42167
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
709 N MAIN ST
TOMPKINSVILLE, KY 42167
Pharmacist
709 N MAIN ST
TOMPKINSVILLE, KY 42167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bushong Family Pharmacy's NPI number?

The NPI number for Bushong Family Pharmacy is 1023564747. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is Bushong Family Pharmacy located?

Bushong Family Pharmacy is located at 709 N Main St, Tompkinsville, KY 42167. The listed phone number is (270) 407-5045.

What is Bushong Family Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Bushong Family Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2175589) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bushong Family Pharmacy accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 14 other insurers list Bushong Family Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bushong Family Pharmacy was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.