Owens Healthcare - Retail Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 51600 Issued in CA

Legal business name

OWENS HEALTHCARE - RETAIL PHARMACY, INC.

Doing business as

Owens Pharmacy #25

Practice address

582 Main St
Weed, CA 96094-2339

Phone

(530) 938-4135

Fax

(530) 938-4816

NPI assigned

May 10, 2011

Last updated

Mar 2, 2017By 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

Mr. John Friesen

Title

President

Phone

(530) 246-1075

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Owens Pharmacy #25 Doing business as

Locations

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1023300050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MAIN ST",
            "city": "WEED",
            "state": "CA",
            "postal_code": "960942339",
            "telephone_number": "530-938-4135",
            "fax_number": "530-938-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MAIN ST",
            "city": "WEED",
            "state": "CA",
            "postal_code": "960942339",
            "telephone_number": "530-938-4135",
            "fax_number": "530-938-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENS HEALTHCARE - RETAIL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "FRIESEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-246-1075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 51600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5640948",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owens Pharmacy #25",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary James Myers, ATC
• Kelsea Ochs
• Jeffrey Alexander Ott, F.N.P.
• Jaya Ottens
• Laurie Ottens
• Shantell Loree Reed
• David Rodriguez
• Isaiah Roggow, M.D.
• Douglas W Rolly, LMFT
• Erika C Rosales, RDHAP

• Community/Retail Pharmacy in Weed, CA
• Providers in Weed, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.