Active NPI
Jordan Michael Bowmaster, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Fort Myers, FL
National Provider Identifier
1821352386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RP445737
- Practice address
- 3033 Winkler Ave Ext
Fort Myers, FL 33916-9413 - Phone
- (239) 939-3939
- NPI assigned
- Jun 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP445737 | PA | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS48893 | FL |
Addresses
Primary practice location
3033 Winkler Ave Ext
Fort Myers, FL 33916-9413
Mailing address
8076 Queen Palm LN
Apt 432
Fort Myers, FL 33966-6456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS48893 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| RP445737 | PA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1821352386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8076 QUEEN PALM LN",
"address_2": "APT 432",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339666456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 WINKLER AVE EXT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169413",
"telephone_number": "239-939-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMASTER",
"first_name": "JORDAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-29",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PA",
"license": "RP445737",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS48893",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.