Active NPI
Jonathan Bowling
- Pharmacist
- Bossier City, LA
National Provider Identifier
1336558865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020601
- Practice address
- 3400 Airline Dr
Bossier City, LA 71111-2122 - Phone
- (318) 741-6589
- NPI assigned
- Aug 8, 2014
- Last updated
- Aug 8, 2014
- Sex
- Male
- 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 | 020601 | LA | Primary |
Addresses
Primary practice location
3400 Airline Dr
Bossier City, LA 71111-2122
Mailing address
3400 Airline Dr
Bossier City, LA 71111-2122
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 |
|---|---|---|---|
| 020601 | LA | MD | Family Medicine Physician |
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": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1336558865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 AIRLINE DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 AIRLINE DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112122",
"telephone_number": "318-741-6589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLING",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "020601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
- Bossier SCC LLC (SCC of Pilgrim Manor Rehabilitation Center)
- Bossier Specialty Hospital ,LLC
- Bossier Specialty Hospital LLC
- Bossier Surgical Associates Apmc
- La Tisha P. Bowie, PHARM D
- Bowman Family Medicine Clinic, LLC
- Corine H. Bowman, MD
- Willie Bowman, COOK
- Boyd Ark-la-Tex Nemt, LLC
- Boyd Family Practice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.