Deandrea Owens, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26029057A Issued in IN

Practice address

2210 Edison Rd
South Bend, IN 46615-3514

Phone

(574) 472-3234

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1518562123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 EDISON RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 EDISON RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153514",
            "telephone_number": "574-472-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DEANDREA",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26029057A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SouthBend",
            "affiliation": "N",
            "address_1": "2210 Edison Rd",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466153514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelly Overgaard, MSW
• Bailey Overmyer
• Ange Danielle Ovide-Fleurant
• Pierre Andre Frantz Ovide, M.D.
• Janelle Owen
• Maria Oxley, PA
• Jenna Pacheco
• Claire Paciga
• Zander Paden
• Mercedes Padilla Rodriguez

• Pharmacist in South Bend, IN
• Providers in South Bend, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.