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CANDLER PHARMACY PC
NPI 1093809964
Pharmacy in Metter, GA

Active since October 03, 2006CLIA 11D2160334 · Waiver
745 S LEWIS ST, METTER, GA 30439(912) 685-2000(912) 685-2006 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Dec 5, 2018 (2 updates tracked since 2018).

About Candler Pharmacy Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDLER PHARMACY PC (NPI 1093809964) is a healthcare organization registered as a pharmacy in Metter, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists John Robert Bowen, Owner, as its authorized official.

NPPES Registry Identity

NPI1093809964
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCANDLER PHARMACY PC
Location Address745 S LEWIS STMetter, GA 30439-5128
Mailing Address745 S Lewis StMetter, GA 30439-5128 · (912) 685-2000 · Fax (912) 685-2006
Phone(912) 685-2000
Fax(912) 685-2006
Organization SubpartNo
Authorized OfficialJohn Robert BowenOwner · (912) 685-2000
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1093809964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · 20003127671
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
745 S LEWIS ST, Metter, GA 30439
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Other Identifiers 1

Medicaid00022745AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2160334

Candler Pharmacy, PC · Metter, GA
Active · expires Jan 8, 2027
CLIA Number11D2160334
Laboratory TypePharmacy
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorJohn Robert Bowen Jr
Laboratory Phone(912) 685-2008
Laboratory LocationCandler Pharmacy, PC639 South Lewis Street, Metter, GA 30439
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN ROBERT BOWEN JR. PHARMD
Pharmacist
745 S LEWIS ST
METTER, GA 30439
Candler County (912) 685-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candler Pharmacy PC's NPI number?

The NPI number for Candler Pharmacy PC is 1093809964. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Candler Pharmacy PC located?

Candler Pharmacy PC is located at 745 S Lewis St, Metter, GA 30439. The listed phone number is (912) 685-2000.

What is Candler Pharmacy PC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Candler Pharmacy PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2160334) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Candler Pharmacy PC was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.