Timothy R Lowery, RPH
Individual provider Active NPI Pharmacist · Waldport, OR
NPI 1982946125 · NPPES record last updated Mar 26, 2013
Key facts
- NPI
- 1982946125
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0011023 (OR)
- Practice address
- 180 NW Highway 101
Waldport, OR 97394-3032 - Phone
- (541) 563-4848
- Fax
- (541) 563-4747
- NPI assigned
- Mar 26, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0011023 | OR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0011023 | OR | Yes |
Addresses
Primary practice location
180 NW Highway 101
Waldport, OR 97394-3032
Mailing address
916 W Evergreen Blvd
Vancouver, WA 98660
Phone (360) 213-2236
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-0011023 | Other | OR | PHARMACIST LICENSE |
| RPH-0011023-P | Other | OR | PHARMACIST PRECEPTOR LICENSE |
Other providers in Waldport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.