Organization Active NPI

K3J LLC

Doing business as Bowie Pharmacy

  • Community/Retail Pharmacy
  • Bowie, TX
National Provider Identifier
1083075683
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30700 Issued in TX
Legal business name
K3J LLC
Doing business as
Bowie Pharmacy
Practice address
503 E London St
Bowie, TX 76230-3020
Phone
(940) 872-1140
Fax
(940) 872-4466
NPI assigned
Mar 10, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Crumpler
Title
Pharmacist in Charge
Phone
(940) 872-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 30700 TX Primary

Addresses

Primary practice location

503 E London St
Bowie, TX 76230-3020

Mailing address

503 E London St
Bowie, TX 76230-3020
Phone (940) 872-1140

Other identifiers 2

IdentifierTypeStateIssuer
2158638OtherPK
149409MedicaidTX

Other names 1

  • BOWIE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1083075683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E LONDON ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762303020",
            "telephone_number": "940-872-1140",
            "fax_number": "940-872-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E LONDON ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762303020",
            "telephone_number": "940-872-1140",
            "fax_number": "940-872-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K3J LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "CRUMPLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "940-872-1140"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158638",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149409",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOWIE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.