Active NPI
Lowry Drug Co
Doing business as Lowry Custom Pharmacy Services
- Compounding Pharmacy
- Statesville, NC
National Provider Identifier
1588917553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 09240
- Legal business name
- LOWRY DRUG CO
- Doing business as
- Lowry Custom Pharmacy Services
- Practice address
- 750 Hartness Rd Ste a
Statesville, NC 28677-3400 - Phone
- (704) 872-5226
- Fax
- (704) 873-4050
- NPI assigned
- Oct 16, 2012
- 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
- Mr. Fred Wilson Lowry Jr., RPH
- Title
- RPH/President
- Phone
- (704) 873-2256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | 09240 | NC | Primary |
Addresses
Primary practice location
750 Hartness Rd Ste a
Statesville, NC 28677-3400
Mailing address
750 Hartness Rd Ste a
Statesville, NC 28677-3400
Phone (704) 872-5226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09240 | Other | NC | NC PHARMACY LICENSE |
Other names 1
- Lowry Custom Pharmacy Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1588917553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 HARTNESS RD STE A",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286773400",
"telephone_number": "704-872-5226",
"fax_number": "704-873-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HARTNESS RD STE A",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286773400",
"telephone_number": "704-872-5226",
"fax_number": "704-873-4050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWRY DRUG CO",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A",
"authorized_official_last_name": "LOWRY",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "WILSON",
"authorized_official_title_or_position": "RPH/PRESIDENT",
"authorized_official_telephone_number": "704-873-2256",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NC",
"license": "09240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PHARMACY LICENSE",
"identifier": "09240",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lowry Custom Pharmacy Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.