Kenneth Earl Bowman

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

35020 Issued in CA

Practice address

12358 Poway Rd
Poway, CA 92064-4219

Phone

(858) 748-9220

Fax

(858) 748-5180

NPI assigned

Nov 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1336512649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 RAGWEED ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294108",
            "telephone_number": "858-484-6598",
            "fax_number": "858-484-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12358 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644219",
            "telephone_number": "858-748-9220",
            "fax_number": "858-748-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KENNETH",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "7525",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "35020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Gregory Bohart, M.D
• Jarissa Bojorquez
• Jose Bolanos
• Maya Marie Bonelli
• Manveen Boparai
• Victoria Lee Boyle, F.N.P
• Cheryl Niemi Bradish, PH.D.
• Spencer Bradley
• Katherine F Bradshaw-Smith, PHYSICIAN ASST CERT
• Ruby Brand

• Ambulatory Care Pharmacist in Poway, CA
• Providers in Poway, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.