Fowler Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FOWLER PHARMACY INC

Doing business as

Fowler Pharmacy

Practice address

301 E Market St
Bennettsville, SC 29512-3136

Phone

(843) 479-3831

Fax

(843) 479-3832

NPI assigned

Mar 8, 2007

Last updated

Oct 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennie Dalton

Title

Manager

Phone

(843) 439-2979

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FOWLER PHARMACY Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Fowler Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fowler Pharmacy Inc

  dba Fowler Pharmacy

  • Community/Retail Pharmacy
  • Bennettsville, SC
  • NPI 1104883107
  NPD tax ID

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1780715250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E MARKET ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123136",
            "telephone_number": "843-479-3831",
            "fax_number": "843-479-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MARKET ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123136",
            "telephone_number": "843-479-3831",
            "fax_number": "843-479-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-439-2979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50000099",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20052219",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME 972",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FOWLERPHARMACY@ATT.NET",
            "affiliation": "N",
            "address_1": "301 E Market St",
            "city": "Bennettsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295123136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FOWLERPHARMACY@ATT.NET",
            "affiliation": "N",
            "address_1": "301 E Market St",
            "city": "Bennettsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295123136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FOWLER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOWLER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eureka Drug Stores, Inc (Scottie Discount Drugs)
• Evernorth Direct Health LLC (Mohawk Healthy Life Center - Oak River SC)
• Juana Figueroa, PSYD
• First Surgical Associates, LLC
• Fowler Pharmacy Inc (Fowler Pharmacy)
• Kenya Charnele Frazier, MA
• Alkesh Bhupendra Gajjar, MD
• General Medicine Clinic
• James G. Gibbs Jr., MD
• Steven B Glassman, MD

• Community/Retail Pharmacy in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.