Active NPI
Candler Pharmacy PC
- Pharmacy
- Metter, GA
National Provider Identifier
1093809964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 20003127671
- Legal business name
- CANDLER PHARMACY PC
- Practice address
- 745 S Lewis St
Metter, GA 30439-5128 - Phone
- (912) 685-2000
- Fax
- (912) 685-2006
- NPI assigned
- Oct 3, 2006
- Last updated
- Aug 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Robert Bowen Jr., PHARMD
- Title
- Owner
- Phone
- (912) 685-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 20003127671 | GA | Primary |
Addresses
Primary practice location
745 S Lewis St
Metter, GA 30439-5128
Mailing address
745 S Lewis St
Metter, GA 30439-5128
Phone (912) 685-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00022745A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Candler Pharmacy LTC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
745 S Lewis St
Metter, GA 30439
Phone (912) 685-2000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Metter, GA
- NPI 1093973406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692748800000",
"number": "1093809964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 S LEWIS ST",
"city": "METTER",
"state": "GA",
"postal_code": "304395128",
"telephone_number": "912-685-2000",
"fax_number": "912-685-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 S LEWIS ST",
"city": "METTER",
"state": "GA",
"postal_code": "304395128",
"telephone_number": "912-685-2000",
"fax_number": "912-685-2006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANDLER PHARMACY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-685-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "20003127671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00022745A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metter, GA
- Candler County LTC LLC (Azalea Health and Rehabilitation)
- Candler County Schools,SBS
- Candler Emergency Group, LLC
- Candler Internal Medicine
- Candler Medical Group, Inc. - Metter
- Candler Pharmacy PC
- Candler Pharmacy PC (Candler Pharmacy LTC)
- Candler Psychological Services
- Carepartners of Georgia
- Melissa Sue Cartrette, AGNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.