Individual provider Active NPI

Lisa Ann Bowerman, PHARMD, RPH

  • Pharmacist
  • Reisterstown, MD
National Provider Identifier
1669751202
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20216 Issued in MD
Practice address
10 Village Center Rd
Reisterstown, MD 21136-6453
Phone
(410) 833-0027
Fax
(410) 833-0047
NPI assigned
Aug 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP445876 PA
Pharmacist 183500000X 20216 MD Primary

Addresses

Primary practice location

10 Village Center Rd
Reisterstown, MD 21136-6453

Mailing address

2216 River Bend CT
White Hall, MD 21161-9214
Phone (570) 709-3038

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.bowerman@weismarkets.com

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
20216MDMDPharmacist
RP445876PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Weis Markets, Inc. PastSince Oct 16, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1313280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1669751202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 RIVER BEND CT",
            "city": "WHITE HALL",
            "state": "MD",
            "postal_code": "211619214",
            "telephone_number": "570-709-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VILLAGE CENTER RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366453",
            "telephone_number": "410-833-0027",
            "fax_number": "410-833-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERMAN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-14",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445876",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "20216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.bowerman@weismarkets.com",
            "affiliation": "N",
            "address_1": "10 Village Center Rd",
            "city": "Reisterstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211366453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.