Individual provider Active NPI

Mary Kay Kathryn Owens, RPH

  • Pharmacist
  • Tallahassee, FL
National Provider Identifier
1437835378
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS25956 Issued in FL
Practice address
3019 North Shannon Lakes Drive Suite 202
Tallahassee, FL 32309
Phone
(850) 668-8524
Fax
(850) 668-6587
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS25956 FL Primary

Addresses

Primary practice location

3019 North Shannon Lakes Drive Suite 202
Tallahassee, FL 32309

Mailing address

3019 North Shannon Lakes Drive Suite 202
Tallahassee, FL 32309
Phone (850) 668-8524

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
PS25956FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Vista Solutions LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

3019 N Shannon Lakes Dr
Ste 202
Tallahassee, FL 32309
Phone (850) 668-8524

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1437835378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 NORTH SHANNON LAKES DRIVE SUITE 202",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32309",
            "telephone_number": "850-668-8524",
            "fax_number": "850-668-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 NORTH SHANNON LAKES DRIVE SUITE 202",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32309",
            "telephone_number": "850-668-8524",
            "fax_number": "850-668-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MARY KAY",
        "middle_name": "KATHRYN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS25956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.