Organization Active NPI

Bowen Pharmacy Inc

Doing business as Bowen Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1629217716
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029176 Issued in NY
Legal business name
BOWEN PHARMACY INC
Doing business as
Bowen Pharmacy
Practice address
826 10TH Ave
New York, NY 10019-5029
Phone
(212) 956-9111
Fax
(212) 956-9112
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Michael Morelli
Title
SP
Phone
(212) 956-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029176 NY Primary

Addresses

Primary practice location

826 10TH Ave
New York, NY 10019-5029

Mailing address

826 10TH Ave
New York, NY 10019-5029
Phone (212) 956-9111

Other identifiers 3

IdentifierTypeStateIssuer
03091949MedicaidNY
3360081OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3091949MedicaidNY

Other names 1

  • Bowen Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

881 10th Ave
New York, NY 10019
Phone (212) 956-9111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1629217716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195029",
            "telephone_number": "212-956-9111",
            "fax_number": "212-956-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195029",
            "telephone_number": "212-956-9111",
            "fax_number": "212-956-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "MORELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SP",
        "authorized_official_telephone_number": "212-956-9111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03091949",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3360081",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091949",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bowen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.