NPIMap

Individual provider Active NPI

Allen Mark Dowty, R.PH.

  • Pharmacist
  • Boyne City, MI
National Provider Identifier
1841574506
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302028254 Issued in MI
Practice address
430 N Lake St
Boyne City, MI 49712-1104
Phone
(231) 582-2101
NPI assigned
Sep 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302028254 MI Primary

Addresses

Primary practice location

430 N Lake St
Boyne City, MI 49712-1104

Mailing address

430 N Lake St
Boyne City, MI 49712-1104
Phone (231) 582-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302028254MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Fare, LLC Past Accepting new patients
Family Fare, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1841574506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N LAKE ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121104",
            "telephone_number": "231-582-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N LAKE ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121104",
            "telephone_number": "231-582-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWTY",
        "first_name": "ALLEN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyne City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.