Active NPI
Cowan Pharmacy LLC
Doing business as Conyers Pharmacy
- Community/Retail Pharmacy
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE010400
- Legal business name
- COWAN PHARMACY LLC
- Doing business as
- Conyers Pharmacy
- Practice address
- 1179 West Ave SW
Conyers, GA 30012-5280 - Phone
- (770) 929-1414
- NPI assigned
- Nov 16, 2017
- Last updated
- Nov 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jamie Fairchild
- Title
- Secretary
- Phone
- (770) 929-1414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE010400 | GA | Primary |
Addresses
Primary practice location
1179 West Ave SW
Conyers, GA 30012-5280
Mailing address
1179 West Ave SW
Conyers, GA 30012-5280
Phone (770) 929-1414
Other names 1
- Conyers Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Conyers Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Conyers, GA
- NPI 1417544750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510790400000",
"number": "1558875294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 WEST AVE SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125280",
"telephone_number": "770-929-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 WEST AVE SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125280",
"telephone_number": "770-929-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COWAN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-16",
"status": "A",
"authorized_official_last_name": "FAIRCHILD",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "770-929-1414",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE010400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Conyers Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Conyers, GA
- Donald N Cote, MD
- Christopher Blake Couey, PA
- Covenant Consulting and Practice Management Corp (Covenant Care)
- Brigioni Covington, RBT
- Cowan Pharmacy LLC (Conyers Pharmacy)
- Cowan Pharmacy LLC (Conyers Pharmacy)
- Timothy Neil Cowthorn, D.O.
- Maria Elena Cox, NURSE PRACTITIONER
- Taurasa Chanel Cox, A.S.
- Megan Sutton Craig, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.