Ian Gordon Bowrey, PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

32839 Issued in NY

Practice address

22412 Merrick Blvd
Laurelton, NY 11413-2023

Phone

(718) 276-7106

Fax

(718) 276-7107

NPI assigned

Feb 12, 2010

Last updated

Feb 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jemjay Drug Inc

  dba Bowreys Pharmacy

  • Community/Retail Pharmacy
  • Laurelton, NY
  • NPI 1255474318
  Authorized official Same address or phone

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1861724015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22412 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22412 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132023",
            "telephone_number": "718-276-7106",
            "fax_number": "718-276-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWREY",
        "first_name": "IAN",
        "middle_name": "GORDON",
        "credential": "PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "32839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3330660",
            "identifier": "01422288",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01422288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessed Ano LLC
• Roxanna Selena Bonitto
• Caroline Borrero-Tavarez, MS
• Cynthia A Boucher, LCSW
• Marcia E Bowen Ericksen, MD
• Angela Beverley Branch, R.N
• Kayla Brantley
• Roselyn Brown Thompson
• Karen Brown
• Kelly Q Brown

• Pharmacist in Laurelton, NY
• Providers in Laurelton, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.