Bowkirk Medical LLC
Organization Active NPI Community/Retail Pharmacy · Harrogate, TN
NPI 1134627342 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1134627342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0000006170 (TN)
- Legal business name
- BOWKIRK MEDICAL LLC
- Practice address
- 6327 Cumberland Gap Pkwy
Harrogate, TN 37752-7853 - Phone
- (423) 869-2001
- Fax
- (423) 869-2077
- NPI assigned
- Jan 23, 2018
- Organization subpart
- No
Authorized official
- Name
- Adam Bowling
- Title
- Owner
- Phone
- (606) 269-6129
Corporate family (same tax ID) 1
Practitioners 1
-
Scott Carson Keith, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210322002451 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638586506 | Practice locations: Harrogate, TN |
National Provider Directory
- Tax ID family
- Bowkirk Medical
Locations
6327 Cumberland Gap Pkwy
Harrogate, TN 37752
Phone (423) 869-2001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0000006170 | TN | Yes |
Addresses
Primary practice location
6327 Cumberland Gap Pkwy
Harrogate, TN 37752-7853
Mailing address
PO Box 2928
Middlesboro, KY 40965-4928
Phone (606) 269-6129
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2175496 | Other | PK |
Other names
- Peoples Choice Pharmacy
Other providers in Harrogate, TN
- Stephanie J Beckett
- Victoria Bennett
- Stephen Russell Bergman
- Hannah Blakley
- Stephanie Lynn Boone
- Michael Su Boyer
- Marissa Brasher
- Mara Elizabeth Brock
- Amanda G Brown
- Virginia Buracioc
All providers in Harrogate, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.