Kelly Cowell

Primary specialty

PharmacistTaxonomy code 183500000X

License

119254 Issued in MN

Practice address

907 S State St
Fairmont, MN 56031-4441

Phone

(507) 238-2880

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Fairmont, MN
  • NPI 1831104066
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1184900482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 W LAIR RD",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560316005",
            "telephone_number": "612-655-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314441",
            "telephone_number": "507-238-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 S State St",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "MN",
            "postal_code": "560314441",
            "country_code": "US",
            "telephone_number": "507-235-5965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWELL",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher L. Olsen, DDS PLLC
• Michael Daniel Clancey, D.C.
• Zephanie Cole, D.C.
• John Coniaris, MD
• Cornerstone Clinic , PSC
• Custom Clinic, P.a.
• Zachary Dahl, ATC
• Shaylee Ranee Dallager, DNP
• Lindsay Ann Dalluge, R.D., L.D.
• Karmen Dather, RPH

• All providers in Fairmont, MN
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.