Active NPI
Rowan Enterprises Inc
- Community/Retail Pharmacy
- Johnson City, TN
National Provider Identifier
1568599306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2064
- Legal business name
- ROWAN ENTERPRISES INC
- Practice address
- 4729 N Roan St
Ste 2
Johnson City, TN 37615-3959 - Phone
- (423) 283-0911
- Fax
- (423) 283-0990
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Rowan, DPH
- Title
- President and Owner
- Phone
- (423) 283-0911
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2064 | TN | Primary |
Addresses
Primary practice location
4729 N Roan St
Ste 2
Johnson City, TN 37615-3959
Mailing address
4729 N Roan St
Ste 2
Johnson City, TN 37615-3959
Phone (423) 283-0911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3562790 | Medicaid | TN | |
| 4425004 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- BOONES CREEK PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250640000000",
"number": "1568599306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4729 N ROAN ST",
"address_2": "STE 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376153959",
"telephone_number": "423-283-0911",
"fax_number": "423-283-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4729 N ROAN ST",
"address_2": "STE 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376153959",
"telephone_number": "423-283-0911",
"fax_number": "423-283-0990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROWAN ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2009-08-19",
"status": "A",
"authorized_official_last_name": "ROWAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT AND OWNER",
"authorized_official_telephone_number": "423-283-0911",
"authorized_official_credential": "DPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "2064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3562790",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4425004",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BOONES CREEK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.