Active NPI
J & M Bowles LLC
- Pharmacy
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 7-8058
- Legal business name
- J & M BOWLES LLC
- Practice address
- 2200 W 15TH St
Edmond, OK 73013 - Phone
- (405) 330-1089
- Fax
- (405) 330-1092
- NPI assigned
- Jan 21, 2013
- Last updated
- Jan 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeremy Michael Bowles, DPH
- Title
- Pharmacist/Owner
- Phone
- (405) 330-1089
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1-6149 | OK | |
| Pharmacy | 333600000X | 7-8058 | OK | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
2200 W 15TH St
Edmond, OK 73013
Mailing address
820 West Danforth Road #A4
Edmond, OK 73003
Phone (405) 330-1089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200473380A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180912001711 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 3870843816 |
1 other NPI on this enrollment Practice locations: Edmond, OK; Norman, OK |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2200 W 15th St
Edmond, OK 73013
Phone (405) 330-1089
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": "1358726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641513600000",
"number": "1225376544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 WEST DANFORTH ROAD #A4",
"city": "EDMOND",
"state": "OK",
"postal_code": "73003",
"telephone_number": "405-330-1089",
"fax_number": "405-330-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W 15TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-330-1089",
"fax_number": "405-330-1092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J & M BOWLES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-21",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A",
"authorized_official_last_name": "BOWLES",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "405-330-1089",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OK",
"license": "1-6149",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OK",
"license": "7-8058",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200473380A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.