Organization Active NPI

P Bowman LLC

Doing business as Tualatin Pharmacy

  • Community/Retail Pharmacy
  • Tualatin, OR
National Provider Identifier
1144523168
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6252 Issued in OR
Legal business name
P BOWMAN LLC
Doing business as
Tualatin Pharmacy
Practice address
19297 SW Martinazzi Ave
Tualatin, OR 97062-6352
Phone
(503) 649-5557
NPI assigned
Dec 13, 2010
Last updated
Dec 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Mr. Patrick H BowmanNPI 1437516291
Title
Pharmacis/Owner
Phone
(503) 649-5557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 6252 OR Primary

Addresses

Primary practice location

19297 SW Martinazzi Ave
Tualatin, OR 97062-6352

Mailing address

19297 SW Martinazzi Ave
Tualatin, OR 97062-6352
Phone (503) 649-5557

Other names 1

  • Tualatin Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

19297 SW Martinazzi Ave
Tualatin, OR 97062
Phone (503) 218-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1144523168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19297 SW MARTINAZZI AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626352",
            "telephone_number": "503-649-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19297 SW MARTINAZZI AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626352",
            "telephone_number": "503-649-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P BOWMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACIS/OWNER",
        "authorized_official_telephone_number": "503-649-5557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "6252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tualatin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.