Bowles Pharmacy, Inc.
Organization Active NPI Pharmacist · Thomaston, GA
NPI 1487738258 · NPPES record last updated Feb 15, 2008
Key facts
- NPI
- 1487738258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- PHRE006210 (GA)
- Legal business name
- BOWLES PHARMACY, INC.
- Practice address
- 301 N Center St
Thomaston, GA 30286-3636 - Phone
- (706) 647-8267
- Fax
- (706) 647-6526
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert C Bowles Jr., R.PH., CDM
- Title
- Owner/Pharmacist
- Phone
- (706) 647-8267
Practitioners 2
-
David L McSwain, R.PH.
-
Melanie Robin Phillips, PHARMD
National Provider Directory
Locations
301 N Center St
Thomaston, GA 30286
Phone (706) 647-8267
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | PHRE006210 | GA | Yes |
Addresses
Primary practice location
301 N Center St
Thomaston, GA 30286-3636
Mailing address
301 N Center St
Thomaston, GA 30286-3636
Phone (706) 647-8267
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00022019B | Medicaid | GA | |
| 00022019A | Medicaid | GA |
Other names
- Big C Pharmacy
NPI Registry JSON
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1487738258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N CENTER ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863636",
"telephone_number": "706-647-8267",
"fax_number": "706-647-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N CENTER ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863636",
"telephone_number": "706-647-8267",
"fax_number": "706-647-6526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWLES PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "BOWLES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "706-647-8267",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "R.PH., CDM"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "PHRE006210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00022019B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00022019A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Big C Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.