Organization Active NPI

Rowe's Pharmacy, Inc.

  • Pharmacist
  • Kingsport, TN
National Provider Identifier
1386711349
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3364 Issued in TN
Legal business name
ROWE'S PHARMACY, INC.
Practice address
2416 Memorial Blvd
Kingsport, TN 37664-3343
Phone
(423) 245-5191
Fax
(423) 245-2913
NPI assigned
Nov 28, 2006
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Clarence Edwin Rowe
Title
President
Phone
(423) 245-5191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3364 TN Primary

Addresses

Primary practice location

2416 Memorial Blvd
Kingsport, TN 37664-3343

Mailing address

2416 Memorial Blvd
Kingsport, TN 37664-3343
Phone (423) 245-5191

Other identifiers 1

IdentifierTypeStateIssuer
3561517MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930082453 TN DME Supplier - Pharmacy 7012035017 Practice locations: Kingsport, TN
O20110325000792 TN Part B Supplier - Mass Immunization (Roster Biller Only) 7012035017 Practice locations: Kingsport, TN

National Provider Directory

National Provider Directory
Tax ID family
Rowe's Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1371513600000",
    "number": "1386711349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 MEMORIAL BLVD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643343",
            "telephone_number": "423-245-5191",
            "fax_number": "423-245-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 MEMORIAL BLVD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643343",
            "telephone_number": "423-245-5191",
            "fax_number": "423-245-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWE'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-245-5191"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "3364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3561517",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

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