Active NPI
Bowers Drug Store Inc
- Pharmacy
- Olney, IL
National Provider Identifier
1639159015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- BOWERS DRUG STORE INC
- Practice address
- 205 E Main
Olney, IL 62450 - Phone
- (618) 392-3931
- Fax
- (618) 395-2912
- NPI assigned
- Jan 20, 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
- Richard L Maleri, RPH
- Title
- President
- Phone
- (618) 392-3931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | IL | Primary |
Addresses
Primary practice location
205 E Main
Olney, IL 62450
Mailing address
205 E Main
Olney, IL 62450
Phone (618) 392-3931
National Provider Directory
National Provider DirectoryLocations
205 E Main St
Olney, IL 62450
Phone (618) 392-3931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639159015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E MAIN",
"city": "OLNEY",
"state": "IL",
"postal_code": "62450",
"telephone_number": "618-392-3931",
"fax_number": "618-395-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E MAIN",
"city": "OLNEY",
"state": "IL",
"postal_code": "62450",
"telephone_number": "618-392-3931",
"fax_number": "618-395-2912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWERS DRUG STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MALERI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-392-3931",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olney, IL
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.