Active NPI
Cow Creek Health and Wellness Pharmacy
- Pharmacist
- Roseburg, OR
National Provider Identifier
1639036916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Legal business name
- COW CREEK HEALTH AND WELLNESS PHARMACY
- Practice address
- 2589 NW Edenbower Blvd
Roseburg, OR 97471-6224 - Phone
- (541) 672-8533
- Fax
- (541) 492-5200
- NPI assigned
- Jan 7, 2026
- Last updated
- Mar 18, 2026
- Organization subpart
- Yes
- Parent organization
- COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tillie Ann Henry, ED.D
- Title
- Health Operations Administrator
- Phone
- (541) 677-5510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | NU | Primary |
Addresses
Primary practice location
2589 NW Edenbower Blvd
Roseburg, OR 97471-6224
Mailing address
2589 NW Edenbower Blvd
Roseburg, OR 97471-6224
Phone (541) 672-8533
National Provider Directory
National Provider Directory- Part of
- Cow Creek Health and Wellness Pharmacy
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.
-
- Pharmacotherapy Pharmacist
- Roseburg, OR
- NPI 1235174004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1639036916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2589 NW EDENBOWER BLVD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974716224",
"telephone_number": "541-672-8533",
"fax_number": "541-492-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2589 NW EDENBOWER BLVD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974716224",
"telephone_number": "541-672-8533",
"fax_number": "541-492-5200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COW CREEK HEALTH AND WELLNESS PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COW CREEK BAND OF UMPQUA TRIBE OF INDIANS",
"enumeration_date": "2026-01-07",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "TILLIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "HEALTH OPERATIONS ADMINISTRATOR",
"authorized_official_telephone_number": "541-677-5510",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ED.D"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
- County of Douglas (Douglas County Shelter Care Facility)
- County of Douglas (Douglas County Health Department)
- County of Douglas (Douglas County Health & Social Services)
- Cow Creek Band of Umpqua Tribe of Indians (Cow Creek Health & Wellness Ctr)
- Cow Creek Health & Wellness Ctr
- Amy Cox
- Christine Elizabeth Smith Cox, LCSW
- Dana Ellen Cox, RD
- Lindsee Cox, R.N.F.A.
- Mlissa Cox, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.