Active NPI
JB Sowles
- Community/Retail Pharmacy
- Canby, OR
National Provider Identifier
1629170451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP-0000597-CS
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Bradley Sowles, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210544 | Medicaid | OR |
Other names 1
- Dave's Prescription Shop
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Canby, OR
- NPI 1316312283
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.