Active NPI
Jennifer Bowen, PHARMD
- Pharmacist
- Meridian, ID
National Provider Identifier
1457760092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P7802
- Practice address
- 520 S Eagle Rd
Suite 1000
Meridian, ID 83642-8364 - Phone
- (208) 706-5252
- Fax
- (208) 706-5255
- NPI assigned
- Aug 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CT1177 | ID | |
| Pharmacist | 183500000X | P7802 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd
Suite 1000
Meridian, ID 83642-8364
Mailing address
16700 N Market Place Blvd
Nampa, ID 83687-7909
Other practice location 1
16700 N Market Place Blvd
Nampa, ID 83687-7909
Phone (208) 465-3809
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7802 | ID | MD | Pharmacist |
| CT1177 | ID | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457760092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16700 N MARKET PLACE BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836877909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD",
"address_2": "SUITE 1000",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428364",
"telephone_number": "208-706-5252",
"fax_number": "208-706-5255"
}
],
"practiceLocations": [
{
"address_1": "16700 N Market Place Blvd",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836877909",
"country_code": "US",
"telephone_number": "208-465-3809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWEN",
"first_name": "JENNIFER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "ID",
"license": "CT1177",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P7802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.