Organization Active NPI

Duramed Inc

Doing business as Bowens Health Mart Pharmacy

  • Community/Retail Pharmacy
  • Kingsland, TX
National Provider Identifier
1891863031
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19126 Issued in TX
Legal business name
DURAMED INC
Doing business as
Bowens Health Mart Pharmacy
Practice address
306 RR 2900
Kingsland, TX 78639-6063
Phone
(325) 388-4593
Fax
(325) 388-4594
NPI assigned
Dec 4, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Royce Sawyer
Title
Pic
Phone
(325) 388-4593

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 19126 TX Primary

Addresses

Primary practice location

306 RR 2900
Kingsland, TX 78639-6063

Mailing address

PO Box 632
Kingsland, TX 78639-0632

Other identifiers 2

IdentifierTypeStateIssuer
4524749OtherNCPDP PROVIDER IDENTIFICATION NUMBER
144944MedicaidTX

Other names 1

  • BOWENS HEALTH MART PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Duramed Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1891863031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786390632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 RR 2900",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786396063",
            "telephone_number": "325-388-4593",
            "fax_number": "325-388-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "325-388-4593"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4524749",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144944",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOWENS HEALTH MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.