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

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

National Provider Directory

Locations

301 N Center St
Thomaston, GA 30286
Phone (706) 647-8267

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193400000X SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
00022019BMedicaidGA
00022019AMedicaidGA

Other names

  • Big C Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 15, 2008.

{
    "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

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Sources for this page

Verify at the official NPI Registry.