Active NPI
Roger E. Fowler, RPH
- Pharmacist
- Pensacola, FL
National Provider Identifier
1275635922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS13482
- Practice address
- 312 E Nine Mile Rd
Pensacola, FL 32514-2737 - Phone
- (850) 478-1126
- Fax
- (850) 478-1095
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS13482 | FL | Primary |
Addresses
Primary practice location
312 E Nine Mile Rd
Pensacola, FL 32514-2737
Mailing address
1138 Pauline St
Cantonment, FL 32533-9040
Phone (850) 968-0334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1085819 | Other | FL | NABP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS13482 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275635922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 PAULINE ST",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325339040",
"telephone_number": "850-968-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E NINE MILE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325142737",
"telephone_number": "850-478-1126",
"fax_number": "850-478-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "ROGER",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS13482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1085819",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.