Active NPI
Matthew Bowles, PHARMD
- Pharmacist
- Hendersonville, TN
National Provider Identifier
1174808729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34248
- Practice address
- 365 New Shackle Island Rd
Hendersonville, TN 37075 - Phone
- (615) 826-1323
- NPI assigned
- Oct 14, 2011
- Last updated
- Mar 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34248 | TN | Primary |
| Pharmacist | 183500000X | 14999 | KY |
Addresses
Primary practice location
365 New Shackle Island Rd
Hendersonville, TN 37075
Mailing address
365 New Shackle Island Rd
Hendersonville, TN 37075
Phone (615) 826-1323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14999 | KY | MD | Pharmacist |
| 34248 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1174808729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 NEW SHACKLE ISLAND RD",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "37075",
"telephone_number": "615-826-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 NEW SHACKLE ISLAND RD",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "37075",
"telephone_number": "615-826-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLES",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "34248",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "14999",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.