Individual provider Active NPI

John Robert Bowen Jr., PHARMD

  • Pharmacist
  • Metter, GA
National Provider Identifier
1093973406
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH018587 Issued in GA
Practice address
745 S Lewis St
Metter, GA 30439
Phone
(912) 685-2000
Fax
(912) 685-2006
NPI assigned
Jun 2, 2008
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH018587 GA Primary

Addresses

Primary practice location

745 S Lewis St
Metter, GA 30439

Mailing address

745 S Lewis St
Metter, GA 30439-5128
Phone (912) 685-2000

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
RPH018587GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Candler Pharmacy PC CurrentSince Sep 5, 2023 Accepting new patients
Candler Pharmacy PC CurrentSince Sep 5, 2023 Accepting new patients

Locations

745 S Lewis St
Metter, GA 30439
Phone (912) 685-2000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1093973406",
    "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": "30439",
            "telephone_number": "912-685-2000",
            "fax_number": "912-685-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH018587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metter, GA

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.

Verify at the official NPI Registry.