Organization Active NPI

Bowie Comcare Pharmacy LLC

Doing business as Comcare Pharmacy

  • Community/Retail Pharmacy
  • Bowie, MD
National Provider Identifier
1730245002
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P02661 Issued in MD
Legal business name
BOWIE COMCARE PHARMACY LLC
Doing business as
Comcare Pharmacy
Practice address
15431 Excelsior Dr
Bowie Town Center
Bowie, MD 20716-2208
Phone
(301) 262-2877
Fax
(301) 262-4488
NPI assigned
Dec 29, 2006
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Marie Therese Oyalowo, RPHNPI 1487793899
Title
Owner,Pic
Phone
(301) 262-2877

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 P02661 MD Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

15431 Excelsior Dr
Bowie Town Center
Bowie, MD 20716-2208

Mailing address

15431 Excelsior Dr
Bowie Town Center
Bowie, MD 20716-2208
Phone (301) 262-2877

Other identifiers 3

IdentifierTypeStateIssuer
2037372OtherPK
401839700MedicaidMD
699745700MedicaidMD

Other names 1

  • COMCARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

15431 Excelsior Dr
Bowie, MD 20716
Phone (301) 262-2877

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1730245002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15431 EXCELSIOR DR",
            "address_2": "BOWIE TOWN CENTER",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162208",
            "telephone_number": "301-262-2877",
            "fax_number": "301-262-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15431 EXCELSIOR DR",
            "address_2": "BOWIE TOWN CENTER",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162208",
            "telephone_number": "301-262-2877",
            "fax_number": "301-262-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWIE COMCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "OYALOWO",
        "authorized_official_first_name": "MARIE THERESE",
        "authorized_official_title_or_position": "OWNER,PIC",
        "authorized_official_telephone_number": "301-262-2877",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P02661",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037372",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401839700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699745700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.