Individual provider Active NPI

Bradley Keith Rowland, RPH

  • Pharmacist
  • Marshall, MO
National Provider Identifier
1568070563
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041988 Issued in MO
Practice address
157 S Jefferson
Marshall, MO 65340-0917
Phone
(660) 886-5515
Fax
(660) 886-2890
NPI assigned
Jul 16, 2020
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041988 MO Primary
Ambulatory Care Pharmacist 1835P2201X 041988 MS

Addresses

Primary practice location

157 S Jefferson
Marshall, MO 65340-0917

Mailing address

157 S Jefferson
Marshall, MO 65340-0917
Phone (660) 886-5515

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

LicenseStateTypeSpecialty
041988MOMDPharmacist
041988MSMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McWhirt-Gibson Incorporation PastSince Jul 1, 2020 Accepting new patients
Red Cross Pharmacy, LLC PastSince Jun 15, 2021 Accepting new patients

Organizations & group practices 2

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1568070563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 S JEFFERSON",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653400917",
            "telephone_number": "660-886-5515",
            "fax_number": "660-886-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 S JEFFERSON",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653400917",
            "telephone_number": "660-886-5515",
            "fax_number": "660-886-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLAND",
        "first_name": "BRADLEY",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041988",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MS",
            "license": "041988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.