Individual provider Active NPI

Jeffery Michael Stowers, PHARMD

  • Pharmacist
  • Longview, TX
National Provider Identifier
1063748796
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
46615 Issued in TX
Practice address
1900 S High St
Longview, TX 75602
Phone
(903) 758-8286
Fax
(903) 758-2728
NPI assigned
Oct 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14307 OK
Pharmacist 183500000X 46615 TX Primary

Addresses

Primary practice location

1900 S High St
Longview, TX 75602

Mailing address

1900 S High St
Longview, TX 75602-3212
Phone (903) 758-8286

Other practice location 1

1775 W Loop 281
Longview, TX 75604-2734
Phone (903) 295-3526

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
14307OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Hervey & Bethard Inc. PastSince Oct 9, 2022 Accepting new patients
Walgreen Co Past Accepting new patients
Hervey & Bethard Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1063748796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S HIGH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756023212",
            "telephone_number": "903-758-8286",
            "fax_number": "903-758-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HIGH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75602",
            "telephone_number": "903-758-8286",
            "fax_number": "903-758-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 W Loop 281",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042734",
            "country_code": "US",
            "telephone_number": "903-295-3526",
            "fax_number": "903-295-3983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOWERS",
        "first_name": "JEFFERY",
        "middle_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-31",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14307",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "46615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.