Vicki Diane Cowart

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

015497 Issued in GA

Practice address

1355 S Park St
Carrollton, GA 30117-4433

Phone

(770) 832-9015

Fax

(770) 830-5521

NPI assigned

Jan 21, 2020

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

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1316577174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 CLEM LOWELL RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301166235",
            "telephone_number": "770-328-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174433",
            "telephone_number": "770-832-9015",
            "fax_number": "770-830-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWART",
        "first_name": "VICKI",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "015497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan David Cortez, M.D.
• Cottage Landing, LLC
• Leslie Ann Cottrell, MD
• Shannon Vitale Couvreur, D.O.
• Logan Tyler Covington
• Kendell Ranee Coyle
• Cpmsc Carrollton
• Jolyn B Crabb, ACNP
• Avian Mildree Craft
• Christina Craton, P.T.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.