Theresa Ann Rowan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

043769 Issued in MO

Practice address

1114 S Main St
Maryville, MO 64468-2602

Phone

(660) 562-2157

Fax

(660) 562-2589

NPI assigned

Nov 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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
  • Maryville, MO
  • NPI 1407088800
  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": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1467729368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682602",
            "telephone_number": "660-562-2157",
            "fax_number": "660-562-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682602",
            "telephone_number": "660-562-2157",
            "fax_number": "660-562-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWAN",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "043769",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "17088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Robertson, PLPC
• Susan Lea Roecker, D.C.
• Taylor Rogers
• Abigail Ross, RDH
• Cindy Lea Rouner, BSED/MD, MSED, LMSW
• Manuel W. Runez, M.D.
• Safe Path Transport LLC
• Spencer Justin Sands, MD
• Kristen Saxton, PMHNP-BC
• Dean Melvin Schneider

• Pharmacist in Maryville, MO
• Providers in Maryville, MO by specialty
• Pharmacist in Missouri

• 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.