Michael E Bowman, RPH
Individual provider Active NPI Pharmacist · Jackson, OH
NPI 1700870995 · NPPES record last updated Jan 19, 2015
Key facts
- NPI
- 1700870995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03-2-16396 (OH)
- Practice address
- 521 E Main St
Jackson, OH 45640-2126 - Phone
- (740) 286-4640
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-2-16396 | OH | Yes |
Addresses
Primary practice location
521 E Main St
Jackson, OH 45640-2126
Mailing address
2716 Mount Zion Rd
Jackson, OH 45640-8770
Phone (740) 286-0873
Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2015. 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.