Organization Active NPI

Candler Pharmacy PC

  • Community/Retail Pharmacy
  • Metter, GA
National Provider Identifier
1568533446
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CANDLER PHARMACY PC
Practice address
639 S Lewis St
Metter, GA 30439-5144
Phone
(912) 685-2000
Fax
(912) 685-2006
NPI assigned
Nov 13, 2006
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Dr. John Robert Bowen Jr., PHARMDNPI 1093973406
Title
Owner
Phone
(912) 685-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

639 S Lewis St
Metter, GA 30439-5144

Mailing address

639 S Lewis St
Metter, GA 30439-5144
Phone (912) 685-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130809000435 GA Part B Supplier - Pharmacy 2860604576 Practice locations: Metter, GA
O20210405000490 GA Part B Supplier - Independent Clinical Laboratory 2860604576 Practice locations: Metter, GA

National Provider Directory

National Provider Directory

Locations

19 NE Broad St
Metter, GA 30439
Phone (912) 685-2000

745 S Lewis St
Metter, GA 30439
Phone (912) 685-2000

Practitioners & affiliated clinicians

Practitioners 2

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1568533446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S LEWIS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304395144",
            "telephone_number": "912-685-2000",
            "fax_number": "912-685-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S LEWIS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304395144",
            "telephone_number": "912-685-2000",
            "fax_number": "912-685-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-685-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metter, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.