NPIMap

Organization Active NPI

Bowles Pharmacy Inc

Doing business as J & M Drug at Homeland

  • Community/Retail Pharmacy
  • Bartlesville, OK
National Provider Identifier
1710002803
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9-8113 Issued in OK
Legal business name
BOWLES PHARMACY INC
Doing business as
J & M Drug at Homeland
Practice address
811 SE Frank Phillips Blvd
Bartlesville, OK 74003-4025
Phone
(918) 336-9411
Fax
(918) 336-7099
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Jeremy BowlesNPI 1538530886
Title
Owner
Phone
(405) 330-1089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 9-8113 OK Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

811 SE Frank Phillips Blvd
Bartlesville, OK 74003-4025

Mailing address

820 W Danforth Rd # A4
Edmond, OK 73003-5006
Phone (918) 369-9411

Other identifiers 2

IdentifierTypeStateIssuer
2176554OtherPK
1100247620AMedicaidOK

Other names 1

  • J & M Drug at Homeland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110915000635 OK Part B Supplier - Mass Immunization (Roster Biller Only) 6608083084 35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ponca City, OK; Oklahoma City, OK; Norman, OK; Henryetta, OK; Elk City, OK; El Reno, OK; Edmond, OK; Duncan, OK…
O20180910001370 OK Part B Supplier - Mass Immunization (Roster Biller Only) 1355691536 Practice locations: Bartlesville, OK

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

National Provider Directory

National Provider Directory

Locations

811 SE Frank Phillips Blvd
#J
Bartlesville, OK 74003
Phone (918) 336-9411

811 SE Frank Phillips Blvd
Bartlesville, OK 74003
Phone (918) 336-9411

Practitioners & affiliated clinicians

Practitioners 3

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1710002803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DANFORTH RD # A4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035006",
            "telephone_number": "918-369-9411",
            "fax_number": "918-336-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SE FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740034025",
            "telephone_number": "918-336-9411",
            "fax_number": "918-336-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-330-1089"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "9-8113",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176554",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100247620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & M Drug at Homeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.