Bowie Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P02567 Issued in MD

Legal business name

BOWIE PHARMACY INC

Practice address

14999 Health Center Dr
Ste 201
Bowie, MD 20716-1074

Phone

(410) 860-0800

Fax

(410) 860-1301

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Adenike Sule Korki, RPH

Title

Owner

Phone

(301) 860-0800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BOWIE PHARMACY INC Doing business as

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1144313586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "STE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161074",
            "telephone_number": "410-860-0800",
            "fax_number": "410-860-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "STE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161074",
            "telephone_number": "410-860-0800",
            "fax_number": "410-860-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWIE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SULE KORKI",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-860-0800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P02567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2125169",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101101400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOWIE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bowie, MD
• Providers in Bowie, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.