Individual provider Active NPI

Phillip Bowers

  • Pharmacist
  • Clifton, TX
National Provider Identifier
1316553928
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
TX17735 Issued in TX
Practice address
900 FM 3220
Clifton, TX 76634-1000
Phone
(254) 675-3007
Fax
(254) 675-3008
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X TX17735 TX Primary

Addresses

Primary practice location

900 FM 3220
Clifton, TX 76634-1000

Mailing address

182 PR 4261
Clifton, TX 76634-3653
Phone (254) 749-1563

Other identifiers 1

IdentifierTypeStateIssuer
4513479MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phillipbowers@bookshires.com Direct

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

State licenses

LicenseStateTypeSpecialty
TX17735TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookshire Grocery Company PastSince Sep 20, 2020 Accepting new patients
Brookshire Grocery Company PastSince Sep 20, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: phillipbowers@bookshires.com

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1316553928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 PR 4261",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766343653",
            "telephone_number": "254-749-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FM 3220",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766341000",
            "telephone_number": "254-675-3007",
            "fax_number": "254-675-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "TX17735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4513479",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phillipbowers@bookshires.com",
            "affiliation": "N",
            "endpointDescription": "private email adddress at Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 Fm 3220",
            "city": "Clifton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "766341000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clifton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.