Active NPI
Phillip Bowers
- Pharmacist
- Clifton, TX
National Provider Identifier
1316553928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- TX17735
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4513479 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TX17735 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookshire Grocery Company | Past | Accepting new patients | |
| Brookshire Grocery Company | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Brookshires Pharmacy
- Community/Retail Pharmacy
- Clifton, TX
- NPI 1558434886
-
dba Reasor's Pharmacy #925
- Community/Retail Pharmacy
- Tulsa, OK
- NPI 1831138213
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
- Bosque County Hospital District (Goodall-Witcher Nursing Facility)
- Bosque County Hospital District (Sunset Home)
- Bosque County Hospital District (Goodall-Witcher Home Health Agency)
- Bosque County Hospital District (Goodall-Witcher Clinic in Clifton)
- Don Randall Bostick, FNP-C
- Janice Annette Boyd, COTA
- Sherrie Bradley, RN
- Brookshire Grocery Company (Brookshires Pharmacy)
- Clifton Isd
- Clifton Medical Equipment & Supply Inc
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.