Individual provider Active NPI

Kimberly Ann Cowhy, R.PH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Port Huron, MI
National Provider Identifier
1629145131
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
5302027633 Issued in MI
Practice address
1524 10TH St
Port Huron, MI 48060-5815
Phone
(810) 982-3100
Fax
(810) 982-3106
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302027633 MI
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 5302027633 MI Primary

Addresses

Primary practice location

1524 10TH St
Port Huron, MI 48060-5815

Mailing address

10185 Foley Rd
Kenockee, MI 48006-3105
Phone (810) 650-5852

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
5302027633MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water Pharmacy LLC CurrentSince Nov 9, 2025 Accepting new patients
Hrldz Management LLC CurrentSince Jul 13, 2025 Accepting new patients
Blue Water Pharmacy LLC CurrentSince Nov 9, 2025 Accepting new patients
Encapsulate LLC CurrentSince Jul 16, 2023 Accepting new patients
Ehardt'S Pharmacy Inc. Past Accepting new patients
Ehardt'S Pharmacy Inc. Past Accepting new patients

Locations

1800 W Caro Rd
Ste 1
Caro, MI 48723
Phone (989) 589-0069

1524 10th St
Port Huron, MI 48060
Phone (810) 982-3100

Organizations & group practices 6

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1629145131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10185 FOLEY RD",
            "city": "KENOCKEE",
            "state": "MI",
            "postal_code": "480063105",
            "telephone_number": "810-650-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 10TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605815",
            "telephone_number": "810-982-3100",
            "fax_number": "810-982-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWHY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302027633",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302027633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.