MATTHEW BOWEN (NPI# 1619276425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619276425 |
| Entity Type | Individual |
| Full Name | MATTHEW BOWEN |
| Credential | PHARMD |
| Practice Address |
1555 Northgate Mile Idaho Falls ID 83401-2014 |
| Mailing Address |
1512 Chesney Ct Idaho Falls ID 83402-5244 |
| Practice Telephone | 2085352553 |
| Mailing Telephone | 2085235852 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2012-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P6391 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700825239 | Matthew Williams Bowen | Clinical Neuropsychologist | 6 Old Farm Rd, Charlottesville, VA 22903-4722 | 2006-06-06 |
| 1700246618 | Matthew W Bowen | Marriage & Family Therapist | 348 W Adams St, Burns, OR 97720-1710 | 2016-03-04 |
| 1407143324 | Matthew C Bowen | Family Medicine | 175 N 100 W, Suite 205a, Vernal, UT 84078-2049 | 2011-06-29 |
| 1174785182 | Matthew Allen Bowen | Otolaryngology | 1450 Farr Rd, Norton Shores, MI 49444-9738 | 2008-06-30 |
| 1619018173 | Matthew J Bowen | Psychologist | 339 Angell St, Providence, RI 02906-3245 | 2007-02-09 |
| Street Address |
1555 NORTHGATE MILE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831134360 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 1555 Northgate Mile, Idaho Falls, ID 83401-2014 | 2006-06-18 |
| 1265089031 | Cody Likes | Pharmacist | 1555 Northgate Mile, Idaho Falls, ID 83401-2014 | 2019-08-26 |
| 1568917268 | Lance Torngren | Pharmacist | 1555 Northgate Mile, Idaho Falls, ID 83401-2014 | 2016-08-23 |
| 1063762607 | Whitney Jeanne Cooley | Pharmacist | 1555 Northgate Mile, Idaho Falls, ID 83401-2014 | 2012-09-11 |
| 1932498433 | Heather Annette Anderson | Pharmacist | 1555 Northgate Mile, Fred Meyer, Idaho Falls, ID 83401-2014 | 2011-04-05 |
| 1093015505 | Mark Keyes | Pharmacist | 1555 Northgate Mile, Idaho Falls, ID 83401-2014 | 2010-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1043701931 | Stacy Short | Pharmacist | 380 Spyglass Cir, Idaho Falls, ID 83401-6334 | 2018-05-25 |
| 1942735816 | Adam Simmons | Pharmacist | 177 W Woodhaven Ln, Idaho Falls, ID 83404-8429 | 2017-04-27 |
| 1639570302 | Brecon Powell | Pharmacist | 2460 Prospect Dr, Idaho Falls, ID 83401-5078 | 2014-09-11 |
| 1104193796 | Andrew Anthony Voltura | Pharmacist | 1850 W Broadway St, Idaho Falls, ID 83402-3044 | 2011-11-26 |
| 1558658468 | Nathan Myers | Pharmacist | 1901 South 2500 East, Idaho Falls, ID 83406 | 2011-06-30 |
| 1992097000 | Karl W Hearne | Pharmacist | 400 S Woodruff Ave, Idaho Falls, ID 83401-4367 | 2011-05-07 |
| 1518151018 | Brad Berry | Pharmacist | 1790 Deer Valley Dr, Idaho Falls, ID 83401-6800 | 2007-08-28 |
| 1083741243 | Jordan B Adams | Pharmacist | 1745 W Broadway St, Idaho Falls, ID 83402-3045 | 2007-02-27 |
| 1467517201 | Neil Tetsuo Komoda | Pharmacist | 2425 Channing Way, Idaho Falls, ID 83404-8059 | 2006-12-22 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on MATTHEW BOWEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.