Bardwell Pharmacy
Bardwell Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Bardwell, KY, holding Type 2 (organization) NPI 1205858206 since 2006. The authorized official on file is Michael Boaz, Owner Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205858206 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bardwell Pharmacy |
| Other name | <Unavail> |
| Practice address | 178 US HWY 51 N, Bardwell, KY, 42023 |
| Phone | 2706285445 |
| Fax | 2706283179 |
| Enumeration date | 2006-07-25 |
| Last updated in NPPES | 2015-12-28 |
Authorized official
| Name | Michael Boaz |
|---|---|
| Title | Owner Pharmacist |
| Phone | 2706285445 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | P06353 | KY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54020524 | Medicaid | KY | — |
| 2030630 | Other | — | PK |
| 90011974 | Medicaid | KY | — |
Copy-ready billing details
Provider: Bardwell Pharmacy NPI: 1205858206 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 178 US HWY 51 N, Bardwell, KY, 42023
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194848119 | Hampton Physical Therapy | Organization | Physical Therapist | Bardwell, KY |
Verify this record
Cross-check NPI 1205858206 against the authoritative CMS record: view Bardwell Pharmacy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Bardwell Pharmacy located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-12-28.