Active NPI
Lineville Clinic Pharmacy LLC
Doing business as Lowry Drugs and Gifts
- Community/Retail Pharmacy
- Roanoke, AL
National Provider Identifier
1194730705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114138
- 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, 2013
- 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
- Mark Lowry, PHRM
- Title
- Owner
- Phone
- (334) 863-6337
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210222001197 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325452311 | Practice locations: Roanoke, AL |
National Provider Directory
National Provider DirectoryLocations
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.