Organization Active NPI

Lineville Clinic Pharmacy LLC

Doing business as Lowry Drugs and Gifts

  • Community/Retail Pharmacy
  • Roanoke, AL
National Provider Identifier
1194730705
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114138 Issued in AL
Legal business name
LINEVILLE CLINIC PHARMACY LLC
Doing business as
Lowry Drugs and Gifts
Practice address
3705 Highway 431 Ste B
Roanoke, AL 36274-1430
Phone
(334) 863-6337
Fax
(334) 863-6339
NPI assigned
Jul 30, 2006
Last updated
Jul 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Mark Lowry, PHRM
Title
Owner
Phone
(334) 863-6337

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 114138 AL Primary

Addresses

Primary practice location

3705 Highway 431 Ste B
Roanoke, AL 36274-1430

Mailing address

PO Box 248
Roanoke, AL 36274-0248

Other names 1

  • LOWRY DRUGS AND GIFTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210222001197 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8325452311 Practice locations: Roanoke, AL

National Provider Directory

National Provider Directory

Locations

3705 Highway 431
Ste B
Roanoke, AL 36274
Phone (334) 863-6337

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1194730705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362740248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 HIGHWAY 431 STE B",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362741430",
            "telephone_number": "334-863-6337",
            "fax_number": "334-863-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINEVILLE CLINIC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-863-6337",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOWRY DRUGS AND GIFTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.