Active NPI
Jack L Bowles, RPH
- Pharmacist
- Greenwood, MS
National Provider Identifier
1639488281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- D6812
- Practice address
- 813 W Park Ave
Greenwood, MS 38930-2824 - Phone
- (662) 455-3527
- Fax
- (662) 455-2142
- NPI assigned
- Sep 30, 2010
- Sex
- Male
- Sole proprietor
- No
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 | D6812 | MS | Primary |
Addresses
Primary practice location
813 W Park Ave
Greenwood, MS 38930-2824
Mailing address
813 W Park Ave
Greenwood, MS 38930-2824
Phone (622) 455-3527
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6812 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1639488281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 W PARK AVE",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302824",
"telephone_number": "622-455-3527",
"fax_number": "662-455-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 W PARK AVE",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302824",
"telephone_number": "662-455-3527",
"fax_number": "662-455-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLES",
"first_name": "JACK",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "D6812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.