Active NPI
Brenda Jean Fowler, RPH
- Pharmacist
- Sac City, IA
National Provider Identifier
1437195294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17633
- Practice address
- 514 W Main St
Sac City, IA 50583-1727 - Phone
- (712) 662-7146
- NPI assigned
- Jun 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 17633 | IA | Primary |
Addresses
Primary practice location
514 W Main St
Sac City, IA 50583-1727
Mailing address
356 Austin St
Rockwell City, IA 50579-1027
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 |
|---|---|---|---|
| 17633 | IA | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437195294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 AUSTIN ST",
"city": "ROCKWELL CITY",
"state": "IA",
"postal_code": "505791027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 W MAIN ST",
"city": "SAC CITY",
"state": "IA",
"postal_code": "505831727",
"telephone_number": "712-662-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "BRENDA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sac City, IA
- County of Sac (Sac County Ambulance Service)
- County of Sac (Sac County Health Services)
- County of Sac (Sac County Health Services)
- Megan Dooley, LMHC
- Family First Dental Associates of Sac City, P.C. (Family 1st Dental of Sac City)
- Bernadette K Gyano, MD
- Joan Renee Hansen
- Howard Center Inc.
- Howard Center Inc.
- Martha Huser
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.