Active NPI
Fowler Pharmacy Inc
- Community/Retail Pharmacy
- Bennettsville, SC
National Provider Identifier
1104883107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50000099
- Legal business name
- FOWLER PHARMACY INC
- Practice address
- 301 E Market St
Bennettsville, SC 29512-3136 - Phone
- (843) 479-3831
- Fax
- (843) 479-3832
- NPI assigned
- Apr 26, 2006
- 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
- Mrs. Jennie Dalton
- Title
- Manager
- Phone
- (843) 479-3831
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 50000099 | SC | Primary |
Addresses
Primary practice location
301 E Market St
Bennettsville, SC 29512-3136
Mailing address
301 E Market St
Bennettsville, SC 29512-3136
Phone (843) 479-3831
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4202521 | Other | NABP | |
| 700994 | Medicaid | SC |
Other names 1
- FOWLER PHARMACY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | FOWLERPHARMACY@ATT.NET |
National Provider Directory
National Provider Directory- Tax ID family
- Fowler Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Bennettsville, SC
- NPI 1780715250
Locations
301 E Market St
Bennettsville, SC 29512
Phone (843) 479-3831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602115200000",
"number": "1104883107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E MARKET ST",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295123136",
"telephone_number": "843-479-3831",
"fax_number": "843-479-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MARKET ST",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295123136",
"telephone_number": "843-479-3831",
"fax_number": "843-479-3832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOWLER PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-26",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "JENNIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "843-479-3831",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "50000099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4202521",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700994",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "FOWLERPHARMACY@ATT.NET",
"affiliation": "N",
"address_1": "301 E Market St",
"city": "Bennettsville",
"state": "SC",
"country_code": "US",
"postal_code": "295123136",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "FOWLER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.