DR. JORDAN MICHAEL BOWMASTER (NPI# 1821352386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821352386 |
| Entity Type | Individual |
| Full Name | DR. JORDAN MICHAEL BOWMASTER |
| Credential | PHARM.D. |
| Practice Address |
3033 Winkler Ave Ext Fort Myers FL 33916-9413 |
| Mailing Address |
8076 Queen Palm Ln Apt 432 Fort Myers FL 33966-6456 |
| Practice Telephone | 2399393939 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS48893 | FL | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP445737 | PA | Pharmacy Service Providers |
| Street Address |
3033 WINKLER AVE EXT |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| 1619225646 | Kim Tyanne Julien | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916-9413 | 2012-08-23 |
| 1669735106 | Department of Veterans Affairs | Psychiatric Unit | 3033 Winkler Ave Ext, Fort Myers, FL 33916-9413 | 2012-06-20 |
| 1609044460 | Cecilia M Sunnenberg | Psychiatry & Neurology | 3033 Winkler Ave Ext, Dept of Veterans Affairs, Fort Myers, FL 33916 | 2008-02-14 |
| 1528171220 | Kandee S Grossman | Psychologist | 3033 Winkler Ave Ext, Va Outpatient Clinic, Fort Myers, FL 33916 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1881806545 | Ali Saharkhiz-langroodi | Psychiatry & Neurology | 3303 Winkler Extension, Fort Myers, FL 33916 | 2007-05-04 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891923355 | Mahendra J Chaudhari | Pharmacist | 18911 S Tamiami Trl Ste 13, Fort Myers, FL 33908-4739 | 2009-06-23 |
| 1033736913 | Walter Robert Karpinia | Pharmacist | 2692 Oak Ridge Ct, Fort Myers, FL 33901-9351 | 2020-06-26 |
| 1730474206 | Brian Ward Nelson | Pharmacist | 9350 Dynasty Dr, Target 2369, Fort Myers, FL 33905-5574 | 2011-06-13 |
| 1952548430 | Wendy Dean | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2009-01-20 |
| 1124265608 | Jack Dean II | Pharmacist | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
| 1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
| 1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
| 1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
| 1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
| 1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
Please comment or provide details below to improve the information on DR. JORDAN MICHAEL BOWMASTER.
| 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.