Individual provider Active NPI

Colin Lee Lowery, PHARMD.

  • Pharmacist
  • Pembroke, NC
National Provider Identifier
1013538404
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29080 Issued in NC
Practice address
407 W 3Rd St
Pembroke, NC 28372-7977
Phone
(910) 521-5600
NPI assigned
Apr 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29080 NC Primary

Addresses

Primary practice location

407 W 3Rd St
Pembroke, NC 28372-7977

Mailing address

407 W 3Rd St
Pembroke, NC 28372-7977
Phone (910) 521-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address colin@oldmainpharmacy.org

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
29080NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1013538404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727977",
            "telephone_number": "910-521-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727977",
            "telephone_number": "910-521-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "COLIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colin@oldmainpharmacy.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "407 W 3rd St",
            "city": "Pembroke",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283727977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.