Individual provider Active NPI

Donald Fowler Jr., RPH

  • Pharmacist
  • Youngstown, OH
National Provider Identifier
1235859406
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03317102 Issued in OH
Practice address
819 McCartney Rd
Youngstown, OH 44505-5047
Phone
(330) 744-3337
Fax
(330) 744-5588
NPI assigned
Aug 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03317102 OH Primary

Addresses

Primary practice location

819 McCartney Rd
Youngstown, OH 44505-5047

Mailing address

819 McCartney Rd
Youngstown, OH 44505-5047
Phone (330) 744-3337

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03317102OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
LK Pharmacy Inc Current Accepting new patients

Locations

819 McCartney Rd
Youngstown, OH 44505
Phone (330) 743-1738

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1235859406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MCCARTNEY RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445055047",
            "telephone_number": "330-744-3337",
            "fax_number": "330-744-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MCCARTNEY RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445055047",
            "telephone_number": "330-744-3337",
            "fax_number": "330-744-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "DONALD",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03317102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.