Organization Active NPI

Lowers Pharmacy Inc

  • Community/Retail Pharmacy
  • Everett, PA
National Provider Identifier
1316013568
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412869L Issued in PA
Legal business name
LOWERS PHARMACY INC
Practice address
33 E Main St
Everett, PA 15537-1257
Phone
(814) 652-5633
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2013

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

Authorized official

Name
Mr. John Byron Mobus II, RPHNPI 1649369257
Title
Owner
Phone
(814) 652-5633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP412869L PA Primary

Addresses

Primary practice location

33 E Main St
Everett, PA 15537-1257

Mailing address

33 E Main St
Everett, PA 15537-1257
Phone (814) 652-5633

Other identifiers 2

IdentifierTypeStateIssuer
0010120420001MedicaidPA
3911179OtherPANCPDP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000297 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8921127036 Practice locations: Everett, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368835200000",
    "number": "1316013568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E MAIN ST",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155371257",
            "telephone_number": "814-652-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E MAIN ST",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155371257",
            "telephone_number": "814-652-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-05-18",
        "status": "A",
        "authorized_official_last_name": "MOBUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-652-5633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412869L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010120420001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3911179",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.