Active NPI
Jerrie Sue Bowers, BS
- Pharmacist
- Johnson City, TN
National Provider Identifier
1811092570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- C-5896
- Practice address
- James H Quilllen/VA Medical Center
Corner of Sidney and Lamont
Johnson City, TN 37684 - Phone
- (423) 926-1171
- Fax
- (423) 979-1461
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- 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 | C-5896 | TN | Primary |
Addresses
Primary practice location
James H Quilllen/VA Medical Center
Corner of Sidney and Lamont
Johnson City, TN 37684
Mailing address
Corner of Sidney and Lamont
James H Quilllen/VA Medical Center
Johnson City, TN 37684
Phone (423) 926-1171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C-5896 | Other | TN | STATE LICENSE |
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5896 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811092570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CORNER OF SIDNEY AND LAMONT",
"address_2": "JAMES H QUILLLEN/VA MEDICAL CENTER",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-926-1171",
"fax_number": "423-979-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JAMES H QUILLLEN/VA MEDICAL CENTER",
"address_2": "CORNER OF SIDNEY AND LAMONT",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-926-1171",
"fax_number": "423-979-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "JERRIE",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "C-5896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "C-5896",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.