Active NPI
Carneice Latrell Bowers
- Pharmacy Technician
- Chiefland, FL
National Provider Identifier
1972623742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 2401010215576
- Practice address
- 2202 N Young Blvd
#300
Chiefland, FL 32626 - Phone
- (352) 493-7447
- Fax
- (352) 490-7711
- NPI assigned
- Mar 29, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 2401010215576 | NU | Primary |
Addresses
Primary practice location
2202 N Young Blvd
#300
Chiefland, FL 32626
Mailing address
PO Box 2163
Chiefland, FL 32644
Phone (352) 490-8122
Other names 1
- Carneice Latrelll London
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972623742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2163",
"city": "CHIEFLAND",
"state": "FL",
"postal_code": "32644",
"telephone_number": "352-490-8122",
"fax_number": "352-490-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N YOUNG BLVD",
"address_2": "#300",
"city": "CHIEFLAND",
"state": "FL",
"postal_code": "32626",
"telephone_number": "352-493-7447",
"fax_number": "352-490-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "CARNEICE",
"middle_name": "LATRELL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NU",
"license": "2401010215576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARNEICE",
"last_name": "LONDON",
"middle_name": "LATRELLL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chiefland, FL
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.