Active NPI
Alex Charles Dow, PHARMD
- Pharmacist
- Fairview Heights, IL
National Provider Identifier
1023372489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2012020932
- Practice address
- 4701 N Illinois St
Fairview Heights, IL 62208-3416 - Phone
- (618) 310-2075
- NPI assigned
- Jul 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2012020932 | MO | Primary |
Addresses
Primary practice location
4701 N Illinois St
Fairview Heights, IL 62208-3416
Mailing address
133 Summit RDG
Maryville, IL 62062-6477
Phone (618) 977-5732
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012020932 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341100800000",
"number": "1023372489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 SUMMIT RDG",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620626477",
"telephone_number": "618-977-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N ILLINOIS ST",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622083416",
"telephone_number": "618-310-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOW",
"first_name": "ALEX",
"middle_name": "CHARLES",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-01",
"last_updated": "2012-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012020932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.