Healthcare Provider Details

I. General information

NPI: 1982926655
Provider Name (Legal Business Name): DONNA C HORTON-BOWREY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 BEATTIES FORD RD
CHARLOTTE NC
28216-3711
US

IV. Provider business mailing address

4749 TURNRIDGE CT NW
CONCORD NC
28027-3402
US

V. Phone/Fax

Practice location:
  • Phone: 980-314-9250
  • Fax: 704-432-0347
Mailing address:
  • Phone: 704-301-6757
  • Fax: 704-432-0347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15080
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number700561
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: