Individual provider Active NPI

Stephen Michael Cowne, RPH

  • Pharmacist
  • Thomasville, NC
National Provider Identifier
1306113394
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
06854 Issued in NC
Practice address
1122 Randolph Street
Kmart Pharmacy #3295
Thomasville, NC 27360-5175
Phone
(336) 476-8190
Fax
(336) 476-5042
NPI assigned
Nov 19, 2011
Last updated
Nov 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 06854 NC Primary
Pharmacist 183500000X 007470 KY
Pharmacist 183500000X 14656 AL

Addresses

Primary practice location

1122 Randolph Street
Kmart Pharmacy #3295
Thomasville, NC 27360-5175

Mailing address

1122 Randolph Street
Kmart Pharmacy #3295
Thomasville, NC 27360
Phone (336) 476-8190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14656ALMDPharmacist
007470KYMDPharmacist
06854NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1306113394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 RANDOLPH STREET",
            "address_2": "KMART PHARMACY #3295",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "27360",
            "telephone_number": "336-476-8190",
            "fax_number": "336-476-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 RANDOLPH STREET",
            "address_2": "KMART PHARMACY #3295",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605175",
            "telephone_number": "336-476-8190",
            "fax_number": "336-476-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWNE",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "06854",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "007470",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.