Organization Active NPI

JB Sowles

  • Community/Retail Pharmacy
  • Canby, OR
National Provider Identifier
1629170451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0000597-CS Issued in OR
Legal business name
JB SOWLES
Practice address
911 SW 4TH Ave
Canby, OR 97013-3832
Phone
(503) 266-2081
Fax
(503) 263-3255
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Bradley Sowles, RPHNPI 1316312283
Title
Owner/Pharmacist
Phone
(503) 266-2081

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 RP-0000597-CS OR Primary

Addresses

Primary practice location

911 SW 4TH Ave
Canby, OR 97013-3832

Mailing address

911 SW 4TH Ave
Canby, OR 97013-3832
Phone (503) 266-2081

Other identifiers 1

IdentifierTypeStateIssuer
210544MedicaidOR

Other names 1

  • Dave's Prescription Shop Doing business as

National Provider Directory

National Provider Directory

Locations

911 SW 4th Ave
Canby, OR 97013
Phone (503) 266-2081

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629170451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SW 4TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133832",
            "telephone_number": "503-266-2081",
            "fax_number": "503-263-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SW 4TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133832",
            "telephone_number": "503-266-2081",
            "fax_number": "503-263-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB SOWLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOWLES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "503-266-2081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0000597-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210544",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dave's Prescription Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.