Active NPI
Lisa Bowers, RPH
- Pharmacist
- Des Peres, MO
National Provider Identifier
1184907297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2004035736
- Practice address
- 12006 Manchester Rd
Des Peres, MO 63131-4415 - Phone
- (314) 965-0030
- NPI assigned
- Sep 25, 2011
- Last updated
- Sep 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2004035736 | MO | Primary |
Addresses
Primary practice location
12006 Manchester Rd
Des Peres, MO 63131-4415
Mailing address
12006 Manchester Rd
Des Peres, MO 63131-4415
Phone (314) 965-0030
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004035736 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316908800000",
"number": "1184907297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12006 MANCHESTER RD",
"city": "DES PERES",
"state": "MO",
"postal_code": "631314415",
"telephone_number": "314-965-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12006 MANCHESTER RD",
"city": "DES PERES",
"state": "MO",
"postal_code": "631314415",
"telephone_number": "314-965-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "LISA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-25",
"last_updated": "2011-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2004035736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Peres, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.