John D Bowman
Individual provider Active NPI Pharmacist · Martinsville, IN
NPI 1609497247 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1609497247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26015126A (IN)
- Practice address
- 2209 John R Wooden Dr
Martinsville, IN 46151-1840 - Phone
- (765) 349-5172
- NPI assigned
- May 6, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26015126A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26015126A | IN | Yes |
Addresses
Primary practice location
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Mailing address
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone (765) 349-5172
Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.