Organization Active NPI

Fowler Pharmacy Inc

  • Community/Retail Pharmacy
  • Bennettsville, SC
National Provider Identifier
1104883107
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50000099 Issued in SC
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

Updated by the provider on Oct 8, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4202521OtherNABP
700994MedicaidSC

Other names 1

  • FOWLER PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FOWLERPHARMACY@ATT.NET

National Provider Directory

National Provider Directory
Tax ID family
Fowler Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.